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1139047

	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	Accident and Emergency Departments
	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 effect of late licensing on the workload of accident and emergency departments in hospitals.
	tabling member printed	Lord Browne of Belmont
	uin	HL17132
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>No such assessment has been made.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:45:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3801 label Biography information for Lord Browne of Belmont

1139309

	registered interest
	date	16/07/2019
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his has taken to implement the recommendations of the 2014 report entitled, National Review of Asthma Deaths.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	277744
	answer	answer is ministerial correction date of answer 26/07/2019 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>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>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>The current quality outcomes framework (QOF) 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>As set out in the NHS 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>Finally, the NHS Long Term Plan commits to offering stop smoking interventions to all inpatients, pregnant women and high-risk outpatient specialties by the end of 2023/24. Recording of smoking status is part of the proposed QOF indicator for asthma.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:14:55 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4243 label Biography information for Dan Jarvis

1139310

	registered interest
	date	16/07/2019
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he has taken in response to the publication of three Regulation 28 (Prevention of Future Death) Reports on asthma deaths since 2015.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	277745
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The National Health Service is working closely with voluntary sector partners to improve patient outcomes for those with severe asthma and a National Health Service Cardiovascular Disease-Respiratory national programme has been developed in line with recommendations from the Taskforce for Lung Health.</p><p>Both respiratory disease and the health of children and young people are priority areas in the NHS Long Term Plan, which aims to improve respiratory care through earlier diagnosis and increased access to treatments. The Respiratory Delivery Board will take forward respiratory proposals set out in the Plan, while the Children’s Transformation Board will oversee work to review national asthma policy and existing clinical guidelines.</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. 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> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:13:24 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4243 label Biography information for Dan Jarvis

1139311

	registered interest
	date	16/07/2019
	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: 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, with reference to the publication of three regulation 28 (Prevention of Future Death) Reports on asthma deaths, what steps he is taking to ensure that severe asthma sufferers are referred to specialist services.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	277746
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>It is expected that National Health Service patients with severe asthma are referred to their specialist asthma service where they will receive appropriate investigation and treatment. All specialised providers are required to develop a networked model of care as the vehicle for delivering an optimal pathway and maximising patient outcomes and experience. All specialised services report against national quality metrics for severe asthma services on an annual basis. Commissioner action is initiated with individual hospitals to address significant issues.</p><p>The NHS England Specialised Commissioning team is running a severe asthma collaborative project to improve patient experience, outcomes and safety through improved access to specialist multidisciplinary teams (MDT) for assessment and review.</p><p>All patients newly diagnosed with severe asthma will receive an MDT review of their care by a specialist asthma MDT, hosted by one of the 14 designated severe asthma centres in England. Patients requiring acute admission will be cared for within a commissioned severe asthma centre where clinically appropriate.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:15:34 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4243 label Biography information for Dan Jarvis

1139312

	registered interest
	date	16/07/2019
	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: 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 he is taking to ensure compliance with NICE guidelines on Quality Statement 4 of Quality Standard 25 on Asthma in relation to the a person having a follow-up appointment with their GP within two working days of treatment in an emergency care setting for an asthma attack.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	277747
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The 2019 general practitioner Contract commits primary care to seven national service specifications. In line with the NHS Long Term Plan commitments, the Structured Medications Review and Optimisation Specification will have a dedicated focus on priority groups, including people with asthma, to improve medicines optimisation and safety.</p><p>NHS RightCare will be publishing an asthma toolkit outlining the optimal pathway for patient care later in 2019. The toolkit has been developed in consultation with clinicians, voluntary sector organisations and patient groups with the aim of supporting local commissioners and systems to deliver quality care for people with asthma.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:10:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4243 label Biography information for Dan Jarvis

1139373

	registered interest
	date	16/07/2019
	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: 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 in response to the death of Ella Kissi-Debrah to (a) improve asthma care and (b) monitor and reduce the effect of air pollution on asthma outcomes.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277728
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The National Health Service is working closely with voluntary sector partners to improve patient outcomes for those with severe asthma and an NHS Cardiovascular Disease-Respiratory national programme has been developed in line with recommendations from the Taskforce for Lung Health.</p><p>Both respiratory disease and the health of children and young people are priority areas in the NHS Long Term Plan, which aims to improve respiratory care through earlier diagnosis and increased access to treatments. The Respiratory Delivery Board will take forward respiratory proposals set out in the Plan, while the Children’s Transformation Board will oversee work to review national asthma policy and existing clinical guidelines.</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. 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> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:14:08 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4131 label Biography information for Jim Shannon

1139377

	registered interest
	date	16/07/2019
	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: 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, pursuant to the Answer of 5 June 2019 to Question 257660 on Asthma: Health Services, what assessment he has made of the effectiveness of NHS treatment for people with severe asthma.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277730
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The NHS Long Term Plan has committed to improving outcomes for those with respiratory disease in England to match, or exceed, our international counterparts. To achieve this, the National Health Service is working closely with voluntary sector partners to improve patient outcomes for those with severe asthma and an National Health Service Cardiovascular Disease-Respiratory national programme has been developed in line with recommendations from the Taskforce for Lung Health.</p><p>The NHS England Specialised Commissioning team is running a severe asthma collaborative project to improve patient experience, outcomes and safety through improved access to specialist multidisciplinary teams for assessment and review. All specialised providers are required to develop a networked model of care as the vehicle for delivering an optimal pathway and maximising patient outcomes and experience. All specialised services report against national quality metrics for severe asthma services on an annual basis. Commissioner action is initiated with individual hospitals to address significant issues.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:10:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4131 label Biography information for Jim Shannon

1139378

	registered interest
	date	16/07/2019
	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: 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 plans he has to increase the number of severe asthma centres.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277731
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>There are currently 14 severe asthma centres in England. There are no plans to increase the number of centres, as severe asthma collaborative networks will improve severe asthma care within localities. All specialist providers are required to develop a networked model of care as the vehicle for delivering an optimal pathway and maximising patient outcomes and experience.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:11:44 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4131 label Biography information for Jim Shannon

1139447

	registered interest
	date	16/07/2019
	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	Obesity: Health Education
	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 reduce obesity related stigma; and if he will make a statement.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	277814
	answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>Our focus is on tackling the causes of obesity, improving diets and preventing ill health. Many of the measures in the chapters of the childhood obesity plan will have an impact on tackling obesity and improving diets across all age groups.</p><p>In addition, Public Health England encourages the population to follow a healthy balanced diet through the 5 A Day campaign, Change4Life and OneYou social marketing campaigns.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:03:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4609 label Biography information for Eleanor Smith

1139584

	registered interest
	date	16/07/2019
	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	Surgery: Training
	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 benefits of introducing virtual reality learning to (1) aid surgical training, and (2) practice pioneering operations.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17231
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Health Education England (HEE)’s technology enhanced learning (TEL) Programme has developed a national framework for the delivery of simulation-based education. This framework is now in place and being applied across the country.</p><p>Part of this work has involved extensive stakeholder engagement and through this engagement, a number of examples of where virtual reality has successfully been used to support learning have emerged. In particular, HEE East of England is piloting facilitated virtual reality learning for 1,200 Foundation Programme trainee doctors in 20 critical emergency scenarios in the East of England. This enables real time practice in a safe simulated environment with both facilitated supervised training and also personal unlimited access. A careful evaluation will be carried out, looking at both the trainee experience of learning through virtual reality and their subsequent improvement in confidence in urgent care management.</p><p>In addition, the TEL Programme has supported the development of a virtual reality lab in Torbay, which is now in its second year. Successful examples of virtual reality in distraction therapy have emerged, particularly in paediatrics and podiatry, with clear benefits to patients undergoing the clinical intervention and costs savings because of the reduction in general anaesthetics.</p><p>The TEL Programme has now set up an academic partnership with Leeds Institute and through this partnership, will be developing a set of principles for the use of virtual reality in education and training. Through this work, the TEL Programme will be developing a cohesive approach for evaluation of outcomes, which will then enable consistency in evidence gathering.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:46:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick