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1699978

	registered interest
	date	12/04/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential impact of discontinuing funding for T1DE pilot schemes on the health and well-being of patients living with type 1 diabetes with disordered eating.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	20895
	answer	answer is ministerial correction date of answer 18/04/2024 answer text <p>NHS England has provided funding for eight integrated care boards (ICBs) across the country to support the development and establishment of Type 1 Diabetes with Disordered Eating (T1DE) services in every National Health Service region. Funding has been provided on a pump prime basis, and the responsibility for the longer-term sustainable provision of care for these patients sits with the relevant integrated care system.</p><p>A nationally commissioned evaluation has shown the positive impact that the provision of T1DE services can have for patients, including reductions in HbA1c, which is linked to reduced rates of diabetes complications, and reduced rates of emergency admissions.</p><p>It’s the role of the ICBs to consider the health needs of their populations, in making decisions about the care that is provided. It is expected that ICB leads consider these evaluation findings alongside the risk to patient health and wellbeing of the discontinuation of service provision, as well as other local contextual factors in making decisions about the future provision of T1DE services.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 18/04/2024 12:53:21 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	481 label Biography information for Sir George Howarth

1699979

	registered interest
	date	12/04/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment her Department has made of the potential implications for its policies of the cost-benefit analysis of the T1DE pilot schemes carried out by NHS England.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	20896
	answer	answer is ministerial correction date of answer 17/04/2024 answer text <p>Evaluation by the National Health Service of the initial Type 1 Diabetes with Disordered Eating service (T1DE) pilot sites, in London and Wessex, demonstrated a mean reduction in HbA1c of between 2.3% to 2.5%. Assuming that this level of reduction is maintained, the lifetime quality-adjusted life year gain of these services was estimated at 1.49, which would be cost effective up to a net lifetime cost of £29,800-£44,800.</p><p>In response to these initial evaluation findings, NHS England expanded the T1DE programme, supporting provision of new services in an additional five sites from September 2022, expanding coverage to more areas of the country. It is expected that these services will generate further evaluation data to consolidate these early findings, which can be used to inform national and local policy decisions.</p><p>NHS England is drawing on learning from existing T1DE services, other emerging evidence and the findings of the recent parliamentary inquiry, to ensure all areas of the country are supported to improve care for those identified as having T1DE. The emergence of these future plans are subject to future spending review settlements for the NHS and level of funding from the NHS England budget allocated to T1DE.</p><p>NHS England are also working closely with the first wave of pilot sites including London to ensure that the newer services can benefit from their learning and experience when considering local funding options in advance of March 2025, when the national funding for the five new sites will come to an end.<strong><br> </strong></p><p>NHS England is assisting integrated care boards to develop local funding arrangements through the provision of evaluation data, a national programme of support workshops, and an online platform to share learning and good practice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 20897 question first answered 17/04/2024 15:22:42 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	481 label Biography information for Sir George Howarth

1699980

	registered interest
	date	12/04/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: 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, whether she (a) has made and (b) plans to make an assessment of the potential merits of funding options to ensure the sustainability of T1DE services beyond the pilot phase.
	tabling member constituency	Knowsley
	tabling member printed	Sir George Howarth
	uin	20897
	answer	answer is ministerial correction date of answer 17/04/2024 answer text <p>Evaluation by the National Health Service of the initial Type 1 Diabetes with Disordered Eating service (T1DE) pilot sites, in London and Wessex, demonstrated a mean reduction in HbA1c of between 2.3% to 2.5%. Assuming that this level of reduction is maintained, the lifetime quality-adjusted life year gain of these services was estimated at 1.49, which would be cost effective up to a net lifetime cost of £29,800-£44,800.</p><p>In response to these initial evaluation findings, NHS England expanded the T1DE programme, supporting provision of new services in an additional five sites from September 2022, expanding coverage to more areas of the country. It is expected that these services will generate further evaluation data to consolidate these early findings, which can be used to inform national and local policy decisions.</p><p>NHS England is drawing on learning from existing T1DE services, other emerging evidence and the findings of the recent parliamentary inquiry, to ensure all areas of the country are supported to improve care for those identified as having T1DE. The emergence of these future plans are subject to future spending review settlements for the NHS and level of funding from the NHS England budget allocated to T1DE.</p><p>NHS England are also working closely with the first wave of pilot sites including London to ensure that the newer services can benefit from their learning and experience when considering local funding options in advance of March 2025, when the national funding for the five new sites will come to an end.<strong><br> </strong></p><p>NHS England is assisting integrated care boards to develop local funding arrangements through the provision of evaluation data, a national programme of support workshops, and an online platform to share learning and good practice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 20896 question first answered 17/04/2024 15:22:42 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	481 label Biography information for Sir George Howarth

1695555

	registered interest
	date	12/03/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to find solutions for diabetes type one sufferers.
	tabling member printed	The Earl of Dundee
	uin	HL3205
	answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>The goal of treating type 1 diabetes is to keep blood glucose within a healthy range by providing the body with supplemental insulin. The National Health Service, with the Department’s support, has taken a number of steps to help manage type 1 diabetes.</p><p>In line with the commitments in the NHS Long Term Plan, NHS England is driving access to new and existing technologies such as continual glucose monitors. This reflects the essential role that technology plays in allowing individuals with type 1 diabetes to manage their blood sugars correctly and avoid dangerous complications. Furthermore, maternity services across the country are now offering continuous glucose monitors to expectant mothers with type 1 diabetes.</p><p>Finally, approximately 72% of children and young people living with type 1 diabetes have registered with the Digibete app, which helps users manage their type 1 diabetes. Over 250,000 unique users have accessed the open access adult website, with over 3,800 education modules undertaken.</p> answering member printed Lord Markham question first answered 21/03/2024 15:00:29 answering member 4948 label Biography information for Lord Markham
	tabling member	2735 label Biography information for The Earl of Dundee

1684215

	registered interest
	date	22/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps her Department is taking to ensure that diabetes patients in (a) Scunthorpe and (b) England receive the eight health checks recommended by Diabetes UK.
	tabling member constituency	Scunthorpe
	tabling member printed	Holly Mumby-Croft
	uin	10961
	answer	answer is ministerial correction date of answer 29/01/2024 answer text <p>Recovery of routine diabetes care following the pandemic is a key priority for the NHS England Diabetes Programme. Transformation funding between 2020/21 and 2022/23 has supported recovery, as such that rates of routine care delivery are now almost back to the pre-pandemic level. Services in the National Health Service are asked to continue this upward trajectory, with a particular focus on ensuring that people from socio-economically deprived areas receive their annual reviews.</p><p> </p><p>Humber and North Yorkshire Integrated Care Board (ICB) is responsible for commissioning diabetes clinical services for the Scunthorpe area and has an established Diabetes Clinical Network. This network operates across the entirety of the Humber and North Yorkshire geographical area.</p><p> </p><p>The latest National Diabetes Audit 2023-24 Quarterly Report, January 2023 to September 2023 was published on 11 January 2024. The proportion of patients with type 1 diabetes completing all eight care processes at Humber and North Yorkshire ICB is 27.0%, above the England average of 25.3%. The proportion of patients with type 2 diabetes completing all eight care processes at Humber and North Yorkshire ICB is 37% above the England average of 30.5%.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 29/01/2024 16:05:52 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4867 label Biography information for Holly Mumby-Croft

1683497

	registered interest
	date	18/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps she is taking to increase the number of people living with diabetes who receive their NICE recommended care processes.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	10448
	answer	answer is ministerial correction date of answer 23/01/2024 answer text <p>Recovery of routine diabetes care following the pandemic is a key priority for the NHS England Diabetes Programme. Transformation funding between 2020/21 and 2022/23 has supported recovery, as such that rates of routine care delivery are now almost back to the pre-pandemic level. Services in the National Health Service are asked to continue this upward trajectory, with a particular focus on ensuring that people from socio-economically deprived areas receive their annual reviews.</p><p> </p><p>According to the report from the fourth quarter of 2022/23, the percentage of people who received all eight National Institute of Health and Care Excellence recommended care processes in England between January 2022 and March 2023 was 40.5% for type 1 diabetes and 57.8% for type 2/other diabetes, 15.3% and 20.6% higher respectively than the same period in the previous year. The percentages remained slightly lower than prior to the COVID-19 pandemic, where in the fourth quarter of 2019/20, they were 42.3% and 58.5%, respectively.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 23/01/2024 09:16:33 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	3973 label Biography information for Grahame Morris

1683093

	registered interest
	date	17/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the adequacy of the availability of support for people with diabetes in (a) Dewsbury constituency and (b) West Yorkshire.
	tabling member constituency	Dewsbury
	tabling member printed	Mark Eastwood
	uin	10284
	answer	answer is ministerial correction date of answer 24/01/2024 answer text <p>NHS West Yorkshire Integrated Care Board has a dedicated diabetes programme and system wide diabetes leadership team which includes representation from National Health Service organisations, including acute trusts and primary and community care, and local authorities. The West Yorkshire diabetes programme team is working together to deliver national diabetes programmes to prevent the onset of and improve the lives of people living with diabetes across West Yorkshire, including Dewsbury.</p><p>Kirklees Health and Care Partnership completed a full review of diabetes services across Kirklees in 2023. Extensive engagement with the Kirklees communities took place via a community champions project. Kirklees Health and Care Partnership invested £155,000 to support the community champion engagement and, in voluntary organisations, to develop new services for communities to access help to both prevent the onset of diabetes and support self-management.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 24/01/2024 11:34:25 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4807 label Biography information for Mark Eastwood

1681221

	registered interest
	date	10/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to tackle disparities in diabetes care (a) access and (b) treatment for people living in low socioeconomic areas.
	tabling member constituency	Slough
	tabling member printed	Mr Tanmanjeet Singh Dhesi
	uin	9053
	answer	answer is ministerial correction date of answer 16/01/2024 answer text <p>The Government continues to support local authorities to make provision for the NHS Health Check, England’s flagship cardiovascular disease prevention programme.</p><p>The programme aims to prevent heart disease, stroke, type 2 diabetes and kidney disease, and some cases of dementia among adults aged between 40 and 74 years old. Each year, the programme engages over one million people.</p><p>A review of the programme in 2021 found that there were higher rates of NHS Health Check attendance among people over 55, women, black African and Asian ethnic groups. Across all ethnic groups, attendance is lowest amongst people in the most deprived decile.</p><p>The NHS Long Term Plan committed to providing a weight management services for people with a diagnosis of type 2 diabetes or hypertension and with a body mass index of 30 or higher, adjusted appropriately for ethnicity.</p><p>Diabetes is also one of six major groups of conditions that we aim to tackle through the Major Conditions Strategy. The Strategy will set out the supporting and enabling interventions the centre can make to ensure that integrated care systems and the organisations within them maximise the opportunities to tackle clusters of disadvantage in their local areas where they exist. This will include addressing unwarranted variation in outcomes and the care people receive in the context of the recovery from the pandemic.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 16/01/2024 09:40:29 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1660477

	registered interest
	date	13/09/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: 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, whether he is taking steps to improve access to (a) technological and (b) psychological support for people with diabetes.
	tabling member constituency	Ealing Central and Acton
	tabling member printed	Dr Rupa Huq
	uin	199435
	answer	answer is ministerial correction date of answer 20/09/2023 answer text <p>The latest technological support for people with diabetes, the hybrid closed loop system (the ‘artificial pancreas’) is currently progressing through the final stages of a Technical Assessment by the National Institute for Health and Care Excellence. Ensuring that these technologies can be provided on the National Health Service at a cost-effective price increases access to these technologies for all eligible people.</p><p>The latest data shows over 60% of people with Type 1 diabetes were prescribed flash glucose monitoring, against an NHS Long Term Plan target of 20%. When the programme commenced, Flash was twice more likely to be prescribed to patients living in the most affluent areas. The current ratio between most and least affluent is now down to less than 1.2 times more likely, with many areas reporting complete parity.</p><p>As of October 2022, 97% of pregnant women living with type 1 diabetes were offered continuous glucose monitoring. The latest figures indicate that there is equitable access to the technology across deciles and ethnicities in the Indices of Multiple Deprivation.</p><p>NHS England has commissioned digital support programmes for people with diabetes. People with type 1 diabetes can self-refer to ‘MyType1 Diabetes’ and people with type 2 diabetes can self-refer to the online Healthy Living Programme.</p><p>Approximately 72% of children and young people living with type 1 diabetes have registered with the Digibete app, a free online service to support children and young people to manage their type 1 diabetes.</p><p>The Spring 2023 Budget contained a package of over £400 million to support the long-term sick, and disabled. This includes approximately £200 million for digital mental health – to modernise NHS Talking Therapies services in England. NHS Talking Therapies services provide evidence-based psychological treatments for people with depression and anxiety disorders, and comorbid long-term physical health conditions such as diabetes.</p><p>Building on Type 1 Disordered Eating (T1DE) pilots the NHS Diabetes Programme approved funding for five additional T1DE sites.</p><p> </p> answering member constituency Colchester answering member printed Will Quince question first answered 20/09/2023 09:53:21 answering member 4423 label Biography information for Will Quince
	tabling member	4511 label Biography information for Dr Rupa Huq

1658669

	registered interest
	date	06/09/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve NHS diabetes care (a) nationally and (b) in Romford constituency.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	198019
	answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>Progress continues to be made for patients with type 1 diabetes, with over 65% of people currently using flash glucose monitoring to help manage their condition. 97% of pregnant women are being offered flash glucose monitoring and 78% accept the offer.</p><p>The NHS Diabetes Prevention Programme supports those identified at high risk of type 2 diabetes to reduce their risk. Data as of February 2023 shows a 20% reduction in risk for those who are referred to the programme compared to those who are not.</p><p>The local National Health Service in Romford, Havering and the neighbouring boroughs of Barking and Dagenham and Redbridge has set out a series of improvements to care for patients with diabetes. These include home-based urine tests, to help prevent renal failure in patients with diabetes, especially those in hard to reach populations such as the housebound.</p><p>In addition, plans are in place for a new transition service for children and young adults from ages 12 to 25 that will equip them for later life and will be supported by new capabilities for insulin pumps and continuous glucose monitoring.</p><p>A new diabetes foot pathway has been jointly adopted by local general practices and hospital and community care clinicians across the area, including in Romford.</p> answering member constituency Colchester answering member printed Will Quince question first answered 12/09/2023 15:59:38 answering member 4423 label Biography information for Will Quince
	tabling member	1447 label Biography information for Andrew Rosindell