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1147528
star this property registered interest false more like this
star this property date less than 2019-10-01more like thismore than 2019-10-01
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium: Health 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 and Social Care, what estimate he has made of (a) the per patient cost to the NHS of treating C-difficile infection (b) the cost the NHS of treating bed-bound patients in hospitals as a result of that infection in the latest period for which figures are available. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 292908 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-07more like thismore than 2019-10-07
star this property answer text <p>Using data from United Kingdom hospitals, in 2017, Public Health England (PHE) estimated the cost of the first episode of Clostridium difficile (C. difficile) infection to be approximately £6000. This can be viewed at the following link:</p><p> </p><p><a href="https://academic.oup.com/jac/article/72/9/2647/3867671" target="_blank">https://academic.oup.com/jac/article/72/9/2647/3867671</a></p><p> </p><p>No estimate has been made of the cost to the National Health Service of treating bed-bound patients in hospital with C. difficile infection.</p><p> </p><p>Severity definitions are not applied or recorded systematically for C. difficile. Therefore, it is not possible to estimate the cost to the NHS.</p><p> </p><p>National statistics on C. difficile infection do not include the number or rate of recurrent cases in the United Kingdom therefore it is not possible to estimate the cost of treating patients with recurrent C. difficile to the NHS.</p> more like this
star this property answering member constituency Mid Bedfordshire more like this
star this property answering member printed Ms Nadine Dorries more like this
star this property grouped question UIN
292909 more like this
292910 more like this
star this property question first answered
less than 2019-10-07T16:24:36.137Zmore like thismore than 2019-10-07T16:24:36.137Z
star this property answering member
1481
star this property label Biography information for Ms Nadine Dorries more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1147529
star this property registered interest false more like this
star this property date less than 2019-10-01more like thismore than 2019-10-01
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium: Health 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 and Social Care, what estimate he has made of the cost to the NHS of treating patients with (a) severe or life-threatening and (b) acute or mild C-difficile infection. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 292909 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-07more like thismore than 2019-10-07
star this property answer text <p>Using data from United Kingdom hospitals, in 2017, Public Health England (PHE) estimated the cost of the first episode of Clostridium difficile (C. difficile) infection to be approximately £6000. This can be viewed at the following link:</p><p> </p><p><a href="https://academic.oup.com/jac/article/72/9/2647/3867671" target="_blank">https://academic.oup.com/jac/article/72/9/2647/3867671</a></p><p> </p><p>No estimate has been made of the cost to the National Health Service of treating bed-bound patients in hospital with C. difficile infection.</p><p> </p><p>Severity definitions are not applied or recorded systematically for C. difficile. Therefore, it is not possible to estimate the cost to the NHS.</p><p> </p><p>National statistics on C. difficile infection do not include the number or rate of recurrent cases in the United Kingdom therefore it is not possible to estimate the cost of treating patients with recurrent C. difficile to the NHS.</p> more like this
star this property answering member constituency Mid Bedfordshire more like this
star this property answering member printed Ms Nadine Dorries more like this
star this property grouped question UIN
292908 more like this
292910 more like this
star this property question first answered
less than 2019-10-07T16:24:36.197Zmore like thismore than 2019-10-07T16:24:36.197Z
star this property answering member
1481
star this property label Biography information for Ms Nadine Dorries more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1147532
star this property registered interest false more like this
star this property date less than 2019-10-01more like thismore than 2019-10-01
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium: Health 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 and Social Care, what estimate he has made of the cost to the NHS of treating patients with recurrent C-difficile infection in each of the last three years. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 292910 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-07more like thismore than 2019-10-07
star this property answer text <p>Using data from United Kingdom hospitals, in 2017, Public Health England (PHE) estimated the cost of the first episode of Clostridium difficile (C. difficile) infection to be approximately £6000. This can be viewed at the following link:</p><p> </p><p><a href="https://academic.oup.com/jac/article/72/9/2647/3867671" target="_blank">https://academic.oup.com/jac/article/72/9/2647/3867671</a></p><p> </p><p>No estimate has been made of the cost to the National Health Service of treating bed-bound patients in hospital with C. difficile infection.</p><p> </p><p>Severity definitions are not applied or recorded systematically for C. difficile. Therefore, it is not possible to estimate the cost to the NHS.</p><p> </p><p>National statistics on C. difficile infection do not include the number or rate of recurrent cases in the United Kingdom therefore it is not possible to estimate the cost of treating patients with recurrent C. difficile to the NHS.</p> more like this
star this property answering member constituency Mid Bedfordshire more like this
star this property answering member printed Ms Nadine Dorries more like this
star this property grouped question UIN
292908 more like this
292909 more like this
star this property question first answered
less than 2019-10-07T16:24:36.247Zmore like thismore than 2019-10-07T16:24:36.247Z
star this property answering member
1481
star this property label Biography information for Ms Nadine Dorries more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1147533
star this property registered interest false more like this
star this property date less than 2019-10-01more like thismore than 2019-10-01
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Dietary Supplements: Expenditure 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 and Social Care, how much money the NHS spent on (a) probiotics and (b) prebiotics in the last (a) 12 months and (b) five years. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 292911 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-07more like thismore than 2019-10-07
star this property answer text <p>NHS Digital is unable to determine which drugs are purely probiotic or prebiotic supplements, but has agreed with the Department to provide primary care data from the Prescription Cost Analysis (PCA) on the net ingredient cost (NIC) for:</p><p> </p><p>VSL#3 (BNF code 091104000BBNMA0)</p><p>Vivomixx (BNF code 091104000BBNUA0)</p><p>Symprove (BNF code 090900000BBKTA0)</p><p> </p><p>These products have all been identified as probiotics by manufacturers upon application to the Advisory Committee on Borderline Substances.</p><p>PCA data is based on a full analysis of all prescriptions prescribed in the United Kingdom and dispensed in the community in England. A time series for the years 2014 to 2018 is provided in the following table.</p><p> </p><p>NIC of prescription items dispensed in the community in England for the three specified probiotic and prebiotics</p><table><tbody><tr><td rowspan="2"><p>British National Formulary Code and Drug Name</p></td><td colspan="5"><p>NIC (£)</p></td><td><p> </p></td></tr><tr><td><p>2014</p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td colspan="2"><p>2018</p></td></tr><tr><td><p>091104000BBNMA0 VSL#3_Probiotic Food Supp Pdr Sach 4.4g</p></td><td><p>990,818</p></td><td><p>1,149,666</p></td><td><p>1,037,511</p></td><td><p>1,067,742</p></td><td colspan="2"><p>993,369</p></td></tr><tr><td><p>091104000BBNUA0 Vivomixx_Pdr Sach 4.4g</p></td><td><p>0</p></td><td><p>0</p></td><td><p>1,763</p></td><td><p>15,124</p></td><td colspan="2"><p>26,000</p></td></tr><tr><td><p>090900000BBKTA0 Symprove_Drink (2 Flav)</p></td><td><p>20</p></td><td><p>2,877</p></td><td><p>7,315</p></td><td><p>4,628</p></td><td colspan="2"><p>8,076</p></td></tr><tr><td><p>Total</p></td><td><p>990,838</p></td><td><p>1,152,543</p></td><td><p>1,046,589</p></td><td><p>1,087,494</p></td><td colspan="2"><p>1,027,445</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p>Notes:</p><p>Prescription information is taken from the PCA system, supplied by NHS Prescription Services, a division of NHS Business Services Authority, and is based on a full analysis of all prescriptions dispensed in the community i.e. by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England. Also included are prescriptions written in Wales, Scotland, Northern Ireland and the Isle of Man but dispensed in England. The data do not cover drugs dispensed in hospitals, including mental health trusts, or private prescriptions.</p><p>Prescribers are general practitioners, hospital doctors, dentists and non medical prescribers such as nurses and pharmacists.</p><p>NIC is the basic cost of a drug as used in primary care. This is the cost at list price excluding VAT, i.e. the price listed in the national Drug Tariff or in standard price lists and is not necessarily the price the National Health Service paid. It does not take into account any contract prices or discounts, dispensing costs, fees or prescription charge income, so the amount the NHS paid will be different.</p><p>Prescriptions are prescribed either by a paper prescription form or via an Electronic Prescription Service message. Each single item prescribed is counted as a prescription item.</p>
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-10-07T16:54:35.357Zmore like thismore than 2019-10-07T16:54:35.357Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145444
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium: Health 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 and Social Care, what estimate he has made of the cost to the NHS of treating patients with recurrent C-difficile infection. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290339 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-09-30more like thismore than 2019-09-30
star this property answer text <p>National statistics on Clostridioides difficile (C. difficile) infection do not include the number or rate of recurrent cases in the United Kingdom therefore it is not possible to estimate the cost of treating patients with recurrent C. difficile to the National Health Service.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> more like this
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-09-30T17:10:53.293Zmore like thismore than 2019-09-30T17:10:53.293Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145445
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Antibiotics: Diarrhoea 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 and Social Care, what data his Department holds on the number of patients on antibiotics who developed (a) AAD and (b) CDI/CDAD. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290340 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-09-30more like thismore than 2019-09-30
star this property answer text <p>Data on the number of patients on antibiotics who developed antibiotic-associated diarrhoea (AAD), clostridium difficile infections (CDI), or clostridium difficile-associated disease are not available in the format requested.</p><p>Public Health England publishes data on the number of CDIs which is available at the following link:</p><p><a href="https://www.gov.uk/government/statistics/clostridium-difficile-infection-annual-data" target="_blank">https://www.gov.uk/government/statistics/clostridium-difficile-infection-annual-data</a></p><p>Data are not collected on the number of people with AAD.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> more like this
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-09-30T17:10:21.02Zmore like thismore than 2019-09-30T17:10:21.02Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145446
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium: Health 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 and Social Care, what proportion of community-acquired c-difficile infections require hospitalisation. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290341 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-02more like thismore than 2019-10-02
star this property answer text <p>Public Health England (PHE) does not collect data on community-acquired Clostridium difficile infections (CDI). However, PHE collects data on community-onset CDI. Community-onset CDI are those cases occurring without or within two days of a hospital admission.</p><p>In approximately half of the community-onset CDI cases (50.1% or 3,706/399 cases), the patient was either admitted to hospital at the time of the first positive sample or admitted shortly afterwards.</p><p>It should be noted that this information is in part reliant on completion of an optional data field and therefore ascertainment may not be optimal. PHE does not collect information on the reasons of the patient being admitted to the hospital. Therefore, in some cases the admission to hospital may have been for other reasons than the CDI.</p><p> </p><p><strong> </strong></p><p> </p><p> </p> more like this
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-10-02T16:04:04.447Zmore like thismore than 2019-10-02T16:04:04.447Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145447
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Antibiotics: Prescriptions 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 and Social Care, what estimate he has made of the number of prescriptions for antibiotics issued in the last (a) 12 months and (b) five years; and what proportion of those patients were subsequently admitted to hospital. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290342 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-01more like thismore than 2019-10-01
star this property answer text <p>Data on the proportion of patients with an antibiotic prescription who were subsequently admitted to hospital are not available.</p> more like this
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-10-01T09:55:28.933Zmore like thismore than 2019-10-01T09:55:28.933Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145482
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Dietary Supplements 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 and Social Care, what assessment he has made of benefits of the use of (a) prebiotics and (b) probiotics in the NHS. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290343 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-01more like thismore than 2019-10-01
star this property answer text <p>The Department’s Advisory Committee on Borderline Substances (ACBS) has made an assessment of the benefits of the use of prebiotics and probiotics.</p><p>NHS England and NHS Improvement, in partnership with NHS Clinical Commissioners, carried out a public consultation between December 2017 and March 2018 on reducing prescribing of over the counter medicines for minor, short-term health concerns. Probiotics were included in the consultation proposals as items of limited clinical effectiveness which are of high cost to the National Health Service.</p><p>Following the consultation, in March 2018, NHS England published guidance for clinical commissioning groups (CCGs) on conditions for which over the counter items should not routinely be prescribed in primary care. This guidance included a recommendation advising CCGs that probiotics should not be routinely prescribed in primary care given the limited evidence of clinical effectiveness. The clinical working group advised that there is currently insufficient clinical evidence to support prescribing of probiotics within the NHS for the treatment or prevention of diarrhoea of any cause.</p>
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2019-10-01T09:49:22.983Zmore like thismore than 2019-10-01T09:49:22.983Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this
1145483
star this property registered interest false more like this
star this property date less than 2019-09-24more like thismore than 2019-09-24
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
unstar this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care remove filter
star this property hansard heading Clostridium 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 and Social Care, what information his Department holds on the number of incidences of an outbreak of c-difficile Infection in NHS hospitals after a single case of that infection was diagnosed. more like this
star this property tabling member constituency Sunderland Central more like this
star this property tabling member printed
Julie Elliott remove filter
star this property uin 290344 more like this
unstar this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2019-10-02more like thismore than 2019-10-02
star this property answer text <p>Public Health England (PHE) does not run surveillance of Clostridium difficile infection (CDI) outbreaks. Data are captured at the case level and this is published as national statistics on the incidence of the disease.</p><p>Cases are categorised based on their timing of detection, in relation to admission to hospital and the patient’s prior exposure to hospital. The national statistics do not group cases into outbreaks. If there is clinical suspicion of an outbreak, then local Infection Prevention and Control teams will investigate further but this is outside the scope of national mandatory surveillance.</p> more like this
star this property answering member constituency Mid Bedfordshire more like this
star this property answering member printed Ms Nadine Dorries more like this
star this property question first answered
less than 2019-10-02T14:29:41.907Zmore like thismore than 2019-10-02T14:29:41.907Z
star this property answering member
1481
star this property label Biography information for Ms Nadine Dorries more like this
star this property tabling member
4127
unstar this property label Biography information for Julie Elliott more like this