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1138874

	registered interest
	date	15/07/2019
	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: Telemedicine
	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 promote the digital delivery of (a) structured education and (b) diabetes management services for people with (i) type 1 and (ii) type 2 diabetes.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277230
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277232 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129851 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle

1138876

	registered interest
	date	15/07/2019
	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: Advisory 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 promote the use of coaching solutions to support patients with (a) type 1 diabetes and (b) type 2 diabetes manage their condition.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277232
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277230 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129850 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle

1138544

	registered interest
	date	11/07/2019
	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	Social Prescribing
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what progress they have made in establishing a National Academy for Social Prescribing.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL17102
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>We are creating a National Academy for Social Prescribing, as part of the wider work on social prescribing, to ensure all general practitioners in England can refer patients to community activities and voluntary services including those covering sports and the arts. The aim of creating a National Academy is to build an evidence base and promote research into this important area, in order to help the National Health Service become a pioneer for social prescription.</p><p>Following a roundtable with a wide range of stakeholders held earlier this year, the Academy Management Board has been established to help shape the National Academy. The first meeting of the Board was held last month. A range of organisations are represented on the Board. This includes Sport England which represents, among a wide range of other sports, yoga through the British Wheel of Yoga.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17103 question first answered 19/07/2019 09:14:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1138545

	registered interest
	date	11/07/2019
	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	Social Prescribing: Yoga
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how yoga practitioners will be represented in the National Academy for Social Prescribing.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL17103
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>We are creating a National Academy for Social Prescribing, as part of the wider work on social prescribing, to ensure all general practitioners in England can refer patients to community activities and voluntary services including those covering sports and the arts. The aim of creating a National Academy is to build an evidence base and promote research into this important area, in order to help the National Health Service become a pioneer for social prescription.</p><p>Following a roundtable with a wide range of stakeholders held earlier this year, the Academy Management Board has been established to help shape the National Academy. The first meeting of the Board was held last month. A range of organisations are represented on the Board. This includes Sport England which represents, among a wide range of other sports, yoga through the British Wheel of Yoga.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17102 question first answered 19/07/2019 09:14:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1138092

	registered interest
	date	10/07/2019
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Microgeneration
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what assessment he has made of the potential for microgeneration of electricity and heat to contribute to the goals of (a) decarbonisation and (b) net zero emissions by 2050.
	tabling member constituency	Feltham and Heston
	tabling member printed	Seema Malhotra
	uin	275754
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Government has supported the deployment over 6GW of small scale power generation, and we expect more to deploy now the Smart Export Guarantee has been announced.</p><p> </p><p>a) This contributes to the over 33% of power that comes from renewables and over 50% that comes from low carbon sources. Our low carbon power generation could need to increase four-fold by 2050.</p><p>b) Decarbonising the power sector is crucial to achieving a net-zero economy – what’s more, small scale generation, as discussed in the Smart Systems and Flexibility plan is an important part of a more flexible and decentralised future system. (<a href="http://www.gov.uk/government/publications/upgrading-our-energy-system-smart-systems-and-flexibility-plan" target="_blank">www.gov.uk/government/publications/upgrading-our-energy-system-smart-systems-and-flexibility-plan</a>).</p><p> </p><p>The generation of low carbon heat through technologies such as solar hot water, biomass, biomethane and heat pumps can all play an important role in decarbonising heat. These are all supported by the Renewable Heat Incentive. Through the Renewable Heat Incentive, the government is spending £2.8bn between 2018 and 2021 to incentivise the deployment of low carbon heating. (<a href="https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Frhi-mechanism-for-budget-management-estimated-commitments&amp;data=02%7C01%7Cpaul.chambers%40beis.gov.uk%7C0e662403256947479f4e08d709fc2afc%7Ccbac700502c143ebb497e6492d1b2dd8%7C0%7C0%7C636988850974629957&amp;sdata=4pWh0wADtAJzYuF0%2FwvyOxcSgqCglTFVK5%2Fpu79HcCo%3D&amp;reserved=0" target="_blank">https://www.gov.uk/government/publications/rhi-mechanism-for-budget-management-estimated-commitments</a>)</p><p>The Government made an assessment on the evidence on options to decarbonise heat in “Clean Growth – Transforming Heating” published in December 2018 (<a href="https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fheat-decarbonisation-overview-of-current-evidence-base&amp;data=02%7C01%7Cpaul.chambers%40beis.gov.uk%7C0e662403256947479f4e08d709fc2afc%7Ccbac700502c143ebb497e6492d1b2dd8%7C0%7C0%7C636988850974629957&amp;sdata=YgAaTgO2mHh6WjaNC6OmRzpsvw5XXtZNBc9Y73qIXz8%3D&amp;reserved=0" target="_blank">https://www.gov.uk/government/publications/heat-decarbonisation-overview-of-current-evidence-base</a>). There is no clear consensus on the best approaches to decarbonising heat at scale. Given the diversity of heat demand, no one solution can provide the best option for everyone – a mix of technologies and customer options will need to be available. We need to continue exploring and testing different approaches to heat decarbonisation. The Government has committed to publishing a heat roadmap by summer 2020 which will set out further details on plans for decarbonising heat.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 19/07/2019 08:18:02 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4253 label Biography information for Seema Malhotra

1137406

	registered interest
	date	08/07/2019
	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	Shingles: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to establish a GP-operated call/recall system to invite older people to receive the shingles vaccination.
	tabling member printed	Baroness Walmsley
	uin	HL17013
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>As outlined in both the NHS Long Term Plan and <em>Investment and evolution: a five-year framework for GP contract reform to implement The NHS Long Term Plan</em>, NHS England and NHS Improvement are currently undertaking a Review of vaccinations and immunisations. The Department would not wish to pre-empt the outcome of this Review. <em>Investment and evolution</em> sets out the purpose of the Review as being to:</p><p>- Ensure the system incentivises achievement of appropriate uptake rates for immunisations in line with national public health uptake rates;</p><p>- Reduce the administrative burden on general practices by simplifying the system if possible;</p><p>- Clarify what is expected on call/recall for immunisations delivered through the general practitioner (GP) contract;</p><p>- Address anomalies in the system that directly incentivise some vaccines but not others;</p><p>- Look at how we deal with outbreaks and catch-up programmes; and</p><p>- Consider whether we extend the list of chargeable travel vaccines.</p><p>Recommendations from the Review will be implemented through the 2020 and 2021 GP contracts.</p><p>A copy of <em>Investment and evolution: a five-year framework for GP contract reform to implement The NHS Long Term Plan</em> is attached.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 19/07/2019 09:14:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name gp-contract-2019.pdf title Five Year framework for GP contract reform
	tabling member	2547 label Biography information for Baroness Walmsley

1137409

	registered interest
	date	08/07/2019
	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	Asthma: Death
	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 Royal College of Physicians The National Review of Asthma Deaths, published on 6 May 2014; and what plans they have to implement that report's recommendations.
	tabling member printed	Baroness Wheeler
	uin	HL17016
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Department collaborated with the Royal College of Physicians on the National Review of Asthma Deaths and welcomed this report. Since its publication, significant improvements have been made in asthma care.</p><p> </p><p>Respiratory disease, including asthma, is a clinical priority within the NHS Long Term Plan, which aims to improve outcomes for patients through earlier diagnosis and increased access to treatments. The Respiratory Delivery Board will take forward respiratory proposals set out in the Plan by working with key partners.</p><p> </p><p>The National Health Service is supporting the national asthma audit programme which provides data on a range of indicators to show improvements and opportunities in asthma outcomes. NHS RightCare will be publishing an asthma toolkit later this year to support local commissioners and systems in delivering quality care. A best practice tariff for asthma, which aims to reduce variation in asthma care, is also in development.</p><p> </p><p>The current quality outcomes framework indicators for asthma are in consultation and changes for the annual review indicators may include data on asthma control; exacerbations; and written personalised action plans.</p><p> </p><p>As set out in the Long Term Plan, pharmacies in primary care networks will undertake medicine reviews for asthma patients. This will include education on inhaler use and uptake of dry powder and smart inhalers where clinically appropriate.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 19/07/2019 09:14:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4157 label Biography information for Baroness Wheeler