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931656

	registered interest
	date	26/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Aortic Aneurysm
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have conducted an impact assessment of the draft NICE Guidelines on Abdominal Aortic Aneurysm, including the impact (1) on patients over 65 years old who may be medically unsuitable for open surgical repair, and (2) of removing certain treatment options when clinical professionals have indicated that patients require such treatment.
	tabling member printed	Baroness Walmsley
	uin	HL9003
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>We have made no such assessments. The National Institute for Health and Care Excellence (NICE) is an independent body and has not yet published final guidance on the diagnosis and management of abdominal aortic aneurysm. NICE has recently consulted on its draft guideline and will take the comments it has received in response to the consultation fully into account in finalising its recommendations.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9004 question first answered 09/07/2018 14:31:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2547 label Biography information for Baroness Walmsley

931658

	registered interest
	date	26/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Aortic Aneurysm
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the availability to UK patients of fenestrated endografts, developed in the UK, manufactured in Scotland and used around the world, if the current draft NICE guidelines on Abdominal Aortic Aneurysm are implemented.
	tabling member printed	Baroness Walmsley
	uin	HL9004
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>We have made no such assessments. The National Institute for Health and Care Excellence (NICE) is an independent body and has not yet published final guidance on the diagnosis and management of abdominal aortic aneurysm. NICE has recently consulted on its draft guideline and will take the comments it has received in response to the consultation fully into account in finalising its recommendations.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9003 question first answered 09/07/2018 14:31:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2547 label Biography information for Baroness Walmsley

930914

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Drugs: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the extent to which the commissioning guidance for the NHS and local government on how to respond to the needs of people who are addicted to prescription and over the counter medicines, published by Public Health England in June 2013, has been implemented.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8914
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>No assessment has been made of the extent to which the commissioning guidance has been implemented. Responding to the needs of people who are addicted to prescription and over the counter medicines is the responsibility of local authorities and the National Health Service in each area. Local authority and clinical commissioning group commissioners should work together to ensure that there are appropriate services and interventions available to meet the needs of their local populations.</p><p>Public Health England supports local commissioners to better understand and address local need, by publishing guidance and supplying information about people in touch with specialist substance misuse services who are being treated for addiction to medicines.</p><p>People who have developed problems with prescription and over the counter medicines should seek help from their general practitioner (GP) in the first instance. Specialist advice for GPs and support for patients with complex and severe problems is available from substance misuse services in each local authority across the country.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8915 question first answered 09/07/2018 14:18:52 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

930915

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Drugs: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the extent to which support is available in every area for people with a dependency on prescription or over the counter medicines as set out in the guidance published by Public Health England in June 2013.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8915
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>No assessment has been made of the extent to which the commissioning guidance has been implemented. Responding to the needs of people who are addicted to prescription and over the counter medicines is the responsibility of local authorities and the National Health Service in each area. Local authority and clinical commissioning group commissioners should work together to ensure that there are appropriate services and interventions available to meet the needs of their local populations.</p><p>Public Health England supports local commissioners to better understand and address local need, by publishing guidance and supplying information about people in touch with specialist substance misuse services who are being treated for addiction to medicines.</p><p>People who have developed problems with prescription and over the counter medicines should seek help from their general practitioner (GP) in the first instance. Specialist advice for GPs and support for patients with complex and severe problems is available from substance misuse services in each local authority across the country.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8914 question first answered 09/07/2018 14:18:52 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

930912

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Prescription Drugs: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they will ensure the timely publication of the agenda, papers and minutes of the Public Health England Expert Group on Prescribed Drug Dependence.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8912
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>Public Health England (PHE) has been commissioned to undertake a public health evidence review of available data and published evidence on the problems associated with dependence, and the short term discontinuation or longer term withdrawal symptoms, associated with prescribed medicines.</p><p> </p><p>PHE is aware of the importance and relevance of the experience of patients in understanding the issues. The review will include a call for papers which specifically identifies published accounts of the patients’ experiences, and this material will be specifically and deliberately focused on in the review. This process is distinct from a public inquiry, which would include individual testimony.</p><p> </p><p>PHE is committed to publishing the agenda, papers and minutes of meetings of the expert reference group and the first set of these documents will be available during July 2018.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8913 question first answered 09/07/2018 14:17:45 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

930913

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Prescription Drugs: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the Public Health England Expert Group on Prescribed Drug Dependence will accept as evidence the individual testimonies of patients.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8913
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>Public Health England (PHE) has been commissioned to undertake a public health evidence review of available data and published evidence on the problems associated with dependence, and the short term discontinuation or longer term withdrawal symptoms, associated with prescribed medicines.</p><p> </p><p>PHE is aware of the importance and relevance of the experience of patients in understanding the issues. The review will include a call for papers which specifically identifies published accounts of the patients’ experiences, and this material will be specifically and deliberately focused on in the review. This process is distinct from a public inquiry, which would include individual testimony.</p><p> </p><p>PHE is committed to publishing the agenda, papers and minutes of meetings of the expert reference group and the first set of these documents will be available during July 2018.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8912 question first answered 09/07/2018 14:17:45 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

930895

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the report by the Association of Child Psychotherapists Silent Catastrophe: responding to the danger signs of children and young people's mental health services in trouble published in June, and its findings in relation to the adequacy of services for children at risk of suicide; and whether they will review the specialist services available to such children.
	tabling member printed	Lord Boateng
	uin	HL8895
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>The Department has noted the report and will examine it with interest.</p><p>Suicide prevention is a priority for this Government which is why we updated the National Suicide Prevention Strategy, <em>Preventing suicide in England: Third progress report of the cross-government outcomes strategy to save lives,</em> last year to strengthen its key areas for action. The Strategy highlights that addressing suicide prevention in children and young people requires tailored approaches to meeting their mental health needs. A copy of the Strategy is attached.</p><p>The Government is investing record levels to transform mental health services which includes £1.4 billion to improve access to children and young people’s mental health services. We are investing an additional £300 million to deliver the proposals set out in the joint health and education <em>Transforming Children and Young People’s Mental Health Provision: a Green Paper</em>. A copy of the Green Paper is attached. The Green Paper builds on the work of the report, <em>Future in Mind, </em>to address the provision of mental health services for children and young people, including the provision of specialist services.</p><p>The Department also supports the work of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which published research into suicide by children and young people, in 2017.</p><p>The Department continues to review and wide range of research to inform evidence-based policy development on mental health.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Suicide_report_2016_A.pdf title Preventing suicide in England 2 file name Transforming_children_and_young_people_s_mental_health_provision (1).pdf title Transforming CYP MHP Green Paper question first answered 09/07/2018 16:30:11 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	147 label Biography information for Lord Boateng

930906

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Nutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what guidance and advice they provide for informal carers of patients with nutritional problems and eating difficulties.
	tabling member printed	Baroness Greengross
	uin	HL8906
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>The Government remains committed to support informal carers to provide care for those they care for.</p><p>While the Department does not provide specific guidance and advice for carers of those they care for with nutritional problems and eating difficulties, the Care Act 2014 requires that where an adult or carer appears to have care and support needs the local authority must carry out a care assessment. It must then decide if the person has eligible needs by considering the outcomes the person wants to achieve, what needs they have, and how these impact on their wellbeing.</p><p>Where a person is assessed as having eligible care and support needs, these must be met by their local authority. For those who do not meet the eligibility criteria, local authorities should signpost people to relevant services. This includes guidance and advice for informal carers of patients with nutritional problems.</p><p>One of the eligibility determinations in the Care Act 2014 for care and support is managing and maintaining nutrition. In addition, there are other sources of information carers can access, such as advice from healthcare professionals. The nutrition company Nutricia also produces information for carers to help provide better support for them around nutritional problems and eating difficulties. The leaflets are available free online as downloads from Carers UK.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 09/07/2018 10:44:17 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2518 label Biography information for Baroness Greengross

930930

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Medicine: Research
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how they will protect joint projects with EU member states into disabilities and diseases if the UK leaves the EU.
	tabling member printed	Lord Roberts of Llandudno
	uin	HL8930
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>We want to continue to cooperate closely with our European partners to the benefit of all citizens and patients in the United Kingdom and across the European Union. As part of this, we are determined to continue working closely with health ministers across the EU and the European Commission and Parliament on a wide variety of issues including disabilities and diseases. Whilst we cannot pre-empt the negotiations, nor can we disadvantage the UK’s position in these negotiations by giving inappropriate guarantees at this time, the Government will continue to seek the best possible deal for the UK.</p> answering member printed Lord O'Shaughnessy question first answered 09/07/2018 10:43:10 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3691 label Biography information for Lord Roberts of Llandudno

930931

	registered interest
	date	25/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Fibromyalgia
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to progress the diagnosis and treatment of fibromyalgia.
	tabling member printed	Lord Roberts of Llandudno
	uin	HL8931
	answer	answer is ministerial correction date of answer 09/07/2018 answer text <p>Diagnosing fibromyalgia can be difficult as there is no specific diagnostic test that can be used, and the symptoms can vary from person to person. Diagnosis is usually made by taking a medical history, checking symptoms and carrying out a physical examination. Blood tests, x-rays and other scans may be used to rule out medical conditions with similar symptoms to fibromyalgia.</p><p>The Royal College of General Practitioners (RCGP) curriculum includes training in musculoskeletal conditions, and as such, GP training can include fibromyalgia. A key component of a trainee GP’s final assessment, alongside the Clinical Skills Assessment and Workplace Based Assessment, is the applied knowledge test (AKT). The AKT is a summative assessment of the knowledge base that underpins independent general practice in the United Kingdom within the context of the NHS. The content guide for the RCGP, which serves to prepare trainees for the test, includes a specific reference to a required knowledge of fibromyalgia. <em>The Applied Knowledge Test Content Guide</em> is attached.</p><p>A range of support exists to help GPs identify the signs and symptoms of fibromyalgia in primary care. This includes an e-learning course developed by the RCGP and Arthritis Research UK on musculoskeletal care, including fibromyalgia, and a medical guide on diagnosis and treatment developed by the Fibromyalgia Association UK (FMUK) for health professionals. Information for the public can be found on the NHS Choices website and is also available in an online patient information guide produced by FMUK. The <em>Fibromyalgia Guidance for Health Professionals</em> is attached.</p><p>Although there is no cure for fibromyalgia, some treatments can ease symptoms and support improved quality of life for patients. The treatments offered will depend on the severity of a patient’s condition, but may include: pharmacological pain relief; physiotherapy; dietary and exercise advice; counselling or cognitive behavioural therapy; and self-management programmes which aim to give patients the skills and confidence to manage their conditions more effectively. There are also a number of National Health Service trusts that offer specialist fibromyalgia clinics, such as the Royal National Hospital for Rheumatic Diseases in Bath, which patients can access on referral from the clinician responsible for their care.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy attachment 1 file name Medical Pack.pdf title Fibromyalgia Guidance for Health Professionals 2 file name Content Guide August 2014.pdf title Applied Knowledge Test Content Guide question first answered 09/07/2018 14:17:12 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3691 label Biography information for Lord Roberts of Llandudno