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171266
unstar this property registered interest false more like this
star this property date less than 2014-12-17more like thismore than 2014-12-17
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Social Services more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what the (a) actual and (b) percentage change was in expenditure per head of population aged 65 and over on adult social care services in each English local authority in 2009-10 and 2013-14. more like this
star this property tabling member constituency Westminster North more like this
star this property tabling member printed
Ms Karen Buck more like this
star this property uin 219191 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-01-05more like thismore than 2015-01-05
star this property answer text <p><del class="ministerial">Data on expenditure per head of population aged 65 and over on adult social care services is not held centrally and could only be obtained at disproportionate cost. The attached table provides the net current expenditure per head of population who receive adult social care aged 65 and over, broken down by local authority and year. The last column shows the percentage change between 2009-10 and 2013-14.</del></p><p> </p><p><ins class="ministerial">Local authorities in England spent £6.7 billion on social care for people aged over 65 and over in 2013-14, compared with £7.4 billion in 2009-10. In 2013-14 the National Health Service transferred £859 million to social care but we are unable to include this investment in the overall spending figure as we do not hold information on how much of it was spent on people aged 65 and over.</ins></p><p><ins class="ministerial">The attached table provides a breakdown of expenditure on social care per head of population aged 65 and over broken down by local authority in 2009-10 and 2013-14. The table also details the percentage change and actual change between those two financial years. The figures do not include NHS transfer funding.</ins></p><p><ins class="ministerial"> <p> </p><p> </p><p /> <p> </p></ins></p><p> </p><p> </p><p> </p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property question first answered
less than 2015-01-05T16:21:02.717Zmore like thismore than 2015-01-05T16:21:02.717Z
star this property question first ministerially corrected
less than 2015-01-13T14:57:52.833Zmore like thismore than 2015-01-13T14:57:52.833Z
star this property answering member
1439
unstar this property label Biography information for Norman Lamb more like this
star this property attachment
1
star this property file name Revised table PQ 219191.docx more like this
star this property title Social care spend per head of population 2009-14 more like this
star this property previous answer version
36913
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property attachment
1
star this property file name 2014-12-22 PQ219191 Karen Buck Table on over 65 LA Expenditure.docx more like this
star this property title Over 65 LA expenditure more like this
star this property tabling member
199
star this property label Biography information for Ms Karen Buck more like this
174220
unstar this property registered interest false more like this
star this property date less than 2015-01-16more like thismore than 2015-01-16
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Accident and Emergency Departments: Greater Manchester more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps he is taking to ensure that hospitals in Greater Manchester meet the Government's A&E waiting time target. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 221094 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-01-23more like thismore than 2015-01-23
star this property answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2015-01-23T13:51:02.107Zmore like thismore than 2015-01-23T13:51:02.107Z
star this property question first ministerially corrected
less than 2015-01-23T14:02:22.587Zmore like thismore than 2015-01-23T14:02:22.587Z
star this property answering member
3918
unstar this property label Biography information for Jane Ellison more like this
star this property previous answer version
39987
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
1506
star this property label Biography information for Andrew Gwynne more like this
174221
unstar this property registered interest false more like this
star this property date less than 2015-01-16more like thismore than 2015-01-16
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Accident and Emergency Departments: Greater Manchester more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what discussions his Department has had with local authorities in Greater Manchester on increased attendances in A&E over the winter and delayed discharges. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 221095 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-01-23more like thismore than 2015-01-23
star this property answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2015-01-23T13:51:02.47Zmore like thismore than 2015-01-23T13:51:02.47Z
star this property question first ministerially corrected
less than 2015-01-23T14:02:55.007Zmore like thismore than 2015-01-23T14:02:55.007Z
star this property answering member
3918
unstar this property label Biography information for Jane Ellison more like this
star this property previous answer version
39989
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
1506
star this property label Biography information for Andrew Gwynne more like this
174223
unstar this property registered interest false more like this
star this property date less than 2015-01-16more like thismore than 2015-01-16
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Accident and Emergency Departments: Greater Manchester more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what discussions he has had with Monitor, the Care Quality Commission and NHS England on hospitals in Greater Manchester which have not met the Government's A&E waiting time target. more like this
star this property tabling member constituency Denton and Reddish more like this
star this property tabling member printed
Andrew Gwynne more like this
star this property uin 221081 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-01-23more like thismore than 2015-01-23
star this property answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p>
star this property answering member constituency Battersea more like this
star this property answering member printed Jane Ellison more like this
star this property question first answered
less than 2015-01-23T13:51:02.267Zmore like thismore than 2015-01-23T13:51:02.267Z
star this property question first ministerially corrected
less than 2015-01-23T14:02:44.487Zmore like thismore than 2015-01-23T14:02:44.487Z
star this property answering member
3918
unstar this property label Biography information for Jane Ellison more like this
star this property previous answer version
39988
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
1506
star this property label Biography information for Andrew Gwynne more like this
222966
unstar this property registered interest false more like this
star this property date less than 2015-02-23more like thismore than 2015-02-23
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Mental Health Services: Children more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, when he expects that the Child and Adolescent Mental Health Services Dataset will start publishing data; and if he will make a statement. more like this
star this property tabling member constituency Liverpool, Wavertree more like this
star this property tabling member printed
Luciana Berger more like this
star this property uin 225018 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-02-26more like thismore than 2015-02-26
star this property answer text <p><ins class="ministerial">The Health and Social Care Information Centre advise that the collection of data for the Child and Adolescent Mental Health Services dataset will start at the beginning of February 2016. The first submission period will cover January to March 2016. Statistical reports based on the initial data collection will be published in mid-2016.</ins></p><p> </p><p> </p><p> </p><p><del class="ministerial">The National Institute for Health and Care Excellence guidance <em>Multiple sclerosis: management of multiple sclerosis in primary and secondary care</em>, updated in October 2014, sets out best practice on the diagnosis, treatment, care and support of people with multiple sclerosis (MS). The guidance makes a range of recommendations on drug based treatments for MS, but also highlights the importance of involving professionals who can meet the needs of the patient in the best way, such as physiotherapists and occupational therapists. </del></p><p> </p><p> </p><p><ins class="ministerial"></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><del class="ministerial">With regard to early diagnosis, MS is a difficult condition to diagnose as a number of the symptoms such as fatigue, depression or dizziness may be unrelated. The guidance sets out a number of initial presentations that clinicians should be aware of when looking for signs of MS. It also recommends a number of assessments a clinician should make, including testing of vision and blood tests before referral to a consultant neurologist, who can confirm or exclude a diagnosis of MS, subject to investigation.</del></p><p> </p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property question first answered
less than 2015-02-26T15:20:43.73Zmore like thismore than 2015-02-26T15:20:43.73Z
star this property question first ministerially corrected
less than 2015-02-27T13:56:12.937Zmore like thismore than 2015-02-27T13:56:12.937Z
star this property answering member
1439
unstar this property label Biography information for Norman Lamb more like this
star this property previous answer version
46777
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
4036
star this property label Biography information for Luciana Berger more like this
63270
unstar this property registered interest false more like this
star this property date less than 2014-06-23more like thismore than 2014-06-23
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading GP Surgeries: Repairs and Maintenance more like this
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many general practitioner practices were (a) refurbished and (b) replaced in each of the last 10 years. more like this
star this property tabling member constituency Copeland more like this
star this property tabling member printed
Mr Jamie Reed more like this
star this property uin 201710 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2014-06-26more like thismore than 2014-06-26
star this property answer text <p>Prior to April 2013, granting funding for the refurbishment and replacement of general practitioner premises was the responsibility of primary care trusts (PCTs). Information pertaining to this period is not held centrally and could only be obtained at disproportionate cost.</p><p> </p><p>Responsibility for funding general practice premises development has now been transferred to NHS England.</p><p> </p><p>Between 1 April 2013 and 1 April 2014, more than 100 business cases for premises development were approved by NHS England. NHS England <ins class="ministerial">will be publishing </ins><del class="ministerial">has now published</del> Principles of Good Practice <ins class="ministerial">later in the autumn. This </ins> <del class="ministerial">that</del> set<ins class="ministerial">s</ins> out how <del class="ministerial">area</del> teams should review and prioritise business case proposals, and since 1 April 2014 a further 46 business cases have been approved.</p><p> </p><p> </p><p> </p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property question first answered
less than 2014-06-26T14:49:17.57Zmore like thismore than 2014-06-26T14:49:17.57Z
star this property question first ministerially corrected
less than 2014-09-11T13:48:27.6320942Zmore like thismore than 2014-09-11T13:48:27.6320942Z
star this property answering member
1439
unstar this property label Biography information for Norman Lamb more like this
star this property previous answer version
6377
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property answering member
1439
star this property label Biography information for Norman Lamb more like this
star this property tabling member
1503
star this property label Biography information for Mr Jamie Reed more like this
347943
unstar this property registered interest false more like this
star this property date less than 2015-06-02more like thismore than 2015-06-02
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Human Papillomavirus: Vaccination more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government, to date, how many adverse reactions to (1) Cervarix, (2) Gardasil and (3) generic human papilloma virus vaccines have been reported to the Medicines and Healthcare products Regulatory Agency; for each category, how many of those reports are of serious adverse reactions; and what age-specific rate those figures represent. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL229 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-06-16more like thismore than 2015-06-16
star this property answer text <p>A total of 8,243 suspected adverse drug reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA), via the Yellow Card Scheme, up to 3 June 2015.</p><p> </p><p> </p><p> </p><p>To date, more than 8 million doses of HPV vaccine have been given across the United Kingdom as part of the routine immunisation programme. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><p>It is important to note that a Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Yellow Card data cannot be used as a reliable indicator of the frequency of suspected ADRs to vaccines or medicines. The level of ADR reporting may fluctuate between given years due to a variety of reasons such as a medicine being new (reporting rates are generally higher when a product is first introduced), stimulated interest/publicity and variations in exposure to the medicine.</p><p> </p><p> </p><p> </p><p>The possible known side effects, and the frequency, are listed in the product information which is provided with the vaccines. The vast majority of the 8,243 ADRs relate to the known risks of vaccination that are well-described in the available product information. The proportion of suspected ADRs for HPV vaccines that were reported as serious (32%) is less than the proportion reported as serious for other routinely used vaccines (68% overall) during the same time period. The expected benefits in protecting against HPV-related mortality and disease outweigh the known side effects of HPV vaccine.</p><p> </p><p> </p><p> </p><p>The following table provides a breakdown of UK suspected spontaneous ADRs received via the Yellow Card Scheme in association with the HPV vaccine. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Vaccine Brand</p></td><td><p>Total number of reports</p></td><td><p>Number of serious reports (% of total)</p></td><td><p>Reporting rate per 1000 doses (serious reporting rates per 1000)</p></td></tr><tr><td><p>Cervarix</p></td><td><p>6,266</p></td><td><p>1,768 (28%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.78 (0.22)</del></p></td></tr><tr><td><p>Gardasil</p></td><td><p>1,471</p></td><td><p>504 (34%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.18 (0.06)</del></p></td></tr><tr><td><p>HPV Brand unspecified</p></td><td><p>507</p></td><td><p>326 (64%)</p></td><td><p><ins class="ministerial">n/a ** </ins><del class="ministerial">0.06 (0.04)</del></p></td></tr><tr><td><p>Total for Human Papilloma virus vaccines</p></td><td><p>*8,244</p></td><td><p>2,598 (32%)</p></td><td><p>1.03 (0.32)</p></td></tr></tbody></table><p> </p><p><em>Source:</em> MHRA sentinel database for adverse reactions.</p><p> </p><p>* It should be noted that the total number of reports received will not be equal to the totals in the table above as some reports of suspected adverse reactions may have included more than one vaccine.</p><p><ins class="ministerial">**Updated UK-wide brand-specific usage data are not available to MHRA at the time of writing based on a minimum of 8 million combined doses of Cervarix and Gardasil administered across the UK to date.</ins></p><p> </p><p><ins class="ministerial"> <p> </p><p> </p><p> </p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The seriousness criteria for ADR reporting were determined by a working group of the Council for International Organizations of Medical Sciences (CIOMS) and are defined as 6 possible categories which are explained on the Yellow Card. The MHRA asks reporters to select one of the following criteria by ticking the appropriate box on the Yellow Card: (1) patient died due to reaction; (2) life threatening; (3) resulted in hospitalisation or prolonged inpatient hospitalisation; (4) congenital abnormality; and (5) involved persistent or significant disability or incapacity; or (6) if the reaction was deemed medically significant. In addition to this, seriousness of reaction terms has also been defined by the MHRA in its medical dictionary. Therefore an ADR report can be serious because the reporter considers the reaction to be serious or because the reaction term itself is considered serious in the MHRA medical dictionary.</p><p> </p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-06-16T14:35:02.313Zmore like thismore than 2015-06-16T14:35:02.313Z
star this property question first ministerially corrected
less than 2015-07-03T14:01:13.16Zmore like thismore than 2015-07-03T14:01:13.16Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
5462
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this
348423
unstar this property registered interest false more like this
star this property date less than 2015-06-03more like thismore than 2015-06-03
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading General Practitioners more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what assessment they have made of the results of a survey on behalf of Monitor, which found that one in ten people are dissatisfied with their general practitioner surgery. more like this
star this property tabling member printed
Lord Taylor of Warwick more like this
star this property uin HL235 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-06-17more like thismore than 2015-06-17
star this property answer text <p>On 1 June 2015, Monitor published <em>Improving GP Services: Commissioners and Patient Choice</em>, which included the findings of a nationally representative survey conducted by Ipsos Mori.</p><p> </p><p> </p><p> </p><p>The report noted a high level of satisfaction with general practice overall. It found that 81% of patients were satisfied with their general practitioner (GP) practice, while only 10% were dissatisfied.</p><p> </p><p> </p><p> </p><p>Monitor’s report found that, after location, patients most value the ease of getting an appointment when choosing a GP practice. In order to improve access for patients, the Government has invested £175 million over two years through the Prime Minister’s GP Access Fund. This is testing improved and innovative access to GP services through longer opening hours, such as at evenings and weekends, but also different ways of accessing services, for example the use of Skype consultations. Altogether, there are now 57 schemes covering over 2,500 practices, meaning that over 18 million patients are expected to benefit from improved access and transformational change at local level by March 2016.</p><p>Additionally, the Primary Care Infrastructure Fund is investing £1 billion<ins class="ministerial">, including</ins> <del class="ministerial">and</del> £25 million as part of the Prime Minister’s GP Access Fund, over four years to improve premises and information technology, which will also improve access.</p><p> </p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-06-17T13:19:17.147Zmore like thismore than 2015-06-17T13:19:17.147Z
star this property question first ministerially corrected
less than 2015-06-19T11:00:07.59Zmore like thismore than 2015-06-19T11:00:07.59Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
5697
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1796
star this property label Biography information for Lord Taylor of Warwick more like this
385301
unstar this property registered interest false more like this
star this property date less than 2015-06-24more like thismore than 2015-06-24
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Hepatitis more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government why the national waiting time criterion for referral to hepatitis C treatment is 18 weeks whereas the national waiting time criterion for referral to specialist services for HIV treatment is two weeks. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL784 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-08more like thismore than 2015-07-08
star this property answer text <p><del class="ministerial">NHS England and Public Health England (PHE) are working alongside a coalition of other organisations and patient groups to draft a framework for hepatitis C improvement. This hepatitis C improvement framework will set high level aims for the public health system towards elimination of hepatitis C related liver disease as a significant public health concern.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">The hepatitis C improvement framework will be referred to in PHE’s liver disease framework.</del></p><p> </p><p><ins class="ministerial">Timing for access to care or treatments for all NHS England service specifications or policies is based on an assessment of the evidence for clinical effectiveness, cost effectiveness and affordability.</ins></p><p> </p><p> </p> more like this
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-08T13:53:15.517Zmore like thismore than 2015-07-08T13:53:15.517Z
star this property question first ministerially corrected
less than 2015-07-08T14:59:37.913Zmore like thismore than 2015-07-08T14:59:37.913Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
12907
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
390599
unstar this property registered interest false more like this
star this property date less than 2015-07-16more like thismore than 2015-07-16
star this property answering body
Department of Health remove filter
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Anaemia more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what action they are taking to address the problems associated with the late diagnosis of pernicious anaemia, in the light of the results of the survey published in the <i>British Nursing Journal</i> in April 2014. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL1539 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-24more like thismore than 2015-07-24
star this property answer text <p>It is important that patients suffering from pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, receive a prompt and appropriate diagnosis. Pernicious anaemia develops gradually, and can cause a range of symptoms, including fatigue, lethargy, feeling faint and headaches, which vary from patient to patient. Because of the gradual progression of the condition, the variety of symptoms, which are shared with a range of other conditions, diagnosis at early onset can be challenging.</p><p>To support the diagnosis of pernicious anaemia, the British Committee for Standards in Haematology (BCSH) has published <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders,</em> which sets out that cobalamin status is the recommended first line diagnostic test. However, the guidance states that there is no gold standard test for the condition and makes it clear that the clinical picture of a patient is the most important factor in assessing the significance of the test results. This means clinicians should take into account all of the symptoms the patent is experiencing, their medical history, age and other relevant factors when considering the implications of a patient’s cobalamin status. The BCSH guidance highlights the risk of neurological impairment if treatment is delayed.</p><p><br /> The BCSH operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice in the diagnosis and treatment of patients with pernicious anaemia were needed, including whether any new or additional tests were appropriate. A copy of the BCSH guidance document <del class="ministerial">has already been placed in the Library and</del> is attached.</p><p><br /> More general clinical guidance on the diagnosis and management of pernicious anaemia can also be found on the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries website. This is a freely accessible online resource that covers the causes, symptoms, diagnosis and treatment of pernicious anaemia, as well as potential complications of the condition. In addition to this, NHS Choices provides similar, though less technical, information on pernicious anaemia for the public.</p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-24T13:21:19.45Zmore like thismore than 2015-07-24T13:21:19.45Z
star this property question first ministerially corrected
less than 2015-10-14T11:21:08.233Zmore like thismore than 2015-10-14T11:21:08.233Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property previous answer version
17459
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this