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819021

	registered interest
	date	09/01/2018
	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	Diabetes: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what priority has been accorded to the provision of diabetic pumps for children; and what discussions his Department has had with each of the devolved administrations on that provision.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	121698
	answer	answer is ministerial correction date of answer 17/01/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning diabetes services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population and are based on the available evidence and take into account national guidelines.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is responsible for producing guidelines for best practice of treatment and care. Treatments such as Continuous Subcutaneous Insulin Infusion (CSII) or ‘insulin pump' therapy may be brought into routine use in the National Health Service after their efficacy, safety, and cost-effectiveness have been appropriately demonstrated.</p><p> </p><p>Health is a devolved matter under the devolution settlements and thus it would be a matter for the devolved administrations to determine their use of diabetic pumps. Devolved administrations would be aware of guidance published by NICE on the use of CSII for children, and are able to follow these if they choose to do so.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/01/2018 15:03:53 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1010695

	registered interest
	date	20/11/2018
	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	Diabetes: Children
	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 diabetes experienced by children to help ensure they live long lives.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	193575
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Preventing diabetes and promoting the best possible care for people with diabetes is a priority for this Government. NHS England is developing a diabetes management and care programme aimed at reducing variation and improving outcomes for people with diabetes. An additional £44 million Transformation Funding is being made available to support the delivery of the programme which will focus on four areas: reducing variation in the achievement of the three National Institute for Health and Care Excellence treatment targets, improving take up of structured education, improving access to multi-disciplinary foot care teams for people with diabetic foot disease and improving access to specialist inpatient support.</p><p> </p><p>95% of children with diabetes have type 1 diabetes and there have been year-on-year improvements in care process delivery and in HbA1c reduction for this group. Further information is available in the National Paediatric Diabetes Audit at the following link:</p><p> </p><p><a href="https://www.rcpch.ac.uk/sites/default/files/2018-07/npda_annual_report_2016_-_2017_april_2018_final_updated_2.pdf" target="_blank">https://www.rcpch.ac.uk/sites/default/files/2018-07/npda_annual_report_2016_-_2017_april_2018_final_updated_2.pdf</a></p><p> </p><p>For children with type 2 diabetes, the Government is committed to halving childhood obesity by 2030, which was recently reiterated in the document ‘Prevention is better than cure’ published on 5 November. The upcoming National Health Service long-term plan will have prevention at its core and build on existing work to keep people healthy and well. Chapter 2 of the Government’s Childhood Obesity Plan also aims to tackle childhood obesity and outlines the actions the Government will take towards its goal of halving childhood obesity and reducing the gap in obesity between children from the most and least deprived areas by 2030.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:33:23 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1023970

	registered interest
	date	12/12/2018
	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	Diabetes: Children
	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 ensure that the symptoms of diabetes in children are identified at the earliest opportunity.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	201655
	answer	answer is ministerial correction date of answer 19/12/2018 answer text <p>General practitioners and other healthcare professionals are trained in identifying the relevant symptoms of diabetes in children.</p><p> </p><p>Information regarding symptoms and getting diagnosed with type 1 diabetes is available on the National Health Service website which can be accessed via the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/symptoms-and-getting-diagnosed/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/symptoms-and-getting-diagnosed/</a></p><p> </p><p>Similar information regarding the symptoms and diagnosis of type 2 diabetes is also available on the NHS website at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-2-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-2-diabetes/</a></p><p> </p><p>NHS England is partnered with Diabetes UK who have been running their 4 T’s campaign to raise awareness of the four most common symptoms of type 1 diabetes (Toilet/Thirsty/Tired/Thinner). Further information is available at the following link:</p><p> </p><p><a href="https://www.diabetes.org.uk/get_involved/campaigning/4-ts-campaign" target="_blank">https://www.diabetes.org.uk/get_involved/campaigning/4-ts-campaign</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2018 11:59:31 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

1457253

	registered interest
	date	14/04/2022
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many people under the age of 18 were diagnosed with diabetes in each of the last five years.
	tabling member constituency	Upper Bann
	tabling member printed	Carla Lockhart
	uin	154499
	answer	answer is ministerial correction date of answer 22/04/2022 answer text <p>The following table shows the number of people in England under the age of 18 years old diagnosed with diabetes by type in each of the five years.</p><p> </p><table><tbody><tr><td><p>Diagnosis year</p></td><td><p>Type 1</p></td><td><p>Type 2 and other</p></td></tr><tr><td><p>2017</p></td><td><p>2,975</p></td><td><p>490</p></td></tr><tr><td><p>2018</p></td><td><p>2,975</p></td><td><p>515</p></td></tr><tr><td><p>2019</p></td><td><p>3,145</p></td><td><p>605</p></td></tr><tr><td><p>2020</p></td><td><p>3,620</p></td><td><p>570</p></td></tr><tr><td><p>2021</p></td><td><p>4,095</p></td><td><p>785</p></td></tr></tbody></table><p> </p><p>Source: National Diabetes Audit</p><p>Note:</p><p>Data was collected from primary care with general practitioner practice participation at 95% or over for all the Audit years.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 22/04/2022 10:23:19 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4857 label Biography information for Carla Lockhart

1506931

	registered interest
	date	20/09/2022
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many children have accessed NHS accident and emergency services with Type 2 diabetes symptoms in each of the last five years.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	51851
	answer	answer is ministerial correction date of answer 27/09/2022 answer text <p>This data is not held in the format requested.</p><p>The following table shows the number of unplanned attendances at accident and emergency (A&amp;E) departments in each of the last five years where a diagnosis of type 2 diabetes has been recorded and the age of the patient on attendance was between 0 and 18 years old. However, this does not represent the number of patients, as an individual may attend A&amp;E on more than one occasion in any given period.</p><p>Year Attendances</p><p>2017/18 12</p><p>2018/19 45</p><p>2019/20 58</p><p>2020/21 67</p><p>2021/22 92</p><p> </p><p>Source: Hospital Episode Statistics, Emergency Care Data Set (ECDS), NHS Digital</p><p>Notes:</p><p>1. Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector.</p><p>2. ECDS is a very young data set and 2017/18 was the first year that any data was collected. As such there were known issues with some providers being unable to submit data to the ECDS and with the quality of the data which was submitted. Therefore, the increase in numbers seen from 2017/18 to 2020/21 should be interpreted in the context of these improvements in data completeness and data quality.</p> answering member constituency Newark answering member printed Robert Jenrick question first answered 27/09/2022 10:58:09 answering member 4320 label Biography information for Robert Jenrick previous answer version 20315 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
	tabling member	4504 label Biography information for Wes Streeting

1506932

	registered interest
	date	20/09/2022
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many children presented to NHS GP surgeries with Type 2 diabetes symptoms in each of the last five years.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	51852
	answer	answer is ministerial correction date of answer 03/11/2022 answer text <p>The data is not held in the format requested.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 03/11/2022 09:12:47 answering member 4527 label Biography information for Helen Whately previous answer version 20310 answering member constituency Colchester answering member printed Will Quince answering member 4423 label Biography information for Will Quince
	tabling member	4504 label Biography information for Wes Streeting

1519847

	registered interest
	date	10/10/2022
	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: Children
	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 provide all children who have type one diabetes with (a) insulin pumps and (b) continuous glucose monitoring through the NHS in (i) Twickenham constituency and (ii) England.
	tabling member constituency	Twickenham
	tabling member printed	Munira Wilson
	uin	60100
	answer	answer is ministerial correction date of answer 18/10/2022 answer text <p>Diabetes care is commissioned by local Integrated Care Boards (ICBs), which are responsible for developing commissioning policies. ICBs must have due regard to the National Institute for Health and Care Excellence’s (NICE) guidance. However, local decision making applies on the implementation of this guidance.</p><p>NHS England supports and encourages local National Health Service partners to adopt NICE’s guidelines for the diagnosis and management of type 1 diabetes in children and young adults and the use of intermittently scanned glucose monitoring devices, real-time continuous glucose monitors.</p> answering member constituency Colchester answering member printed Will Quince question first answered 18/10/2022 16:18:42 answering member 4423 label Biography information for Will Quince
	tabling member	4776 label Biography information for Munira Wilson

1542252

	registered interest
	date	15/11/2022
	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: Children
	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 guidance by the National Institute for Health and Care Excellence on the treatment of diabetes in children, published in March 2022, whether his Department has taken recent steps to ensure that all type 1 diabetic children have access to (a) rtCGM and (b) isCGM; and if he will make a statement.
	tabling member constituency	South West Devon
	tabling member printed	Sir Gary Streeter
	uin	87730
	answer	answer is ministerial correction date of answer 22/11/2022 answer text <p>Local integrated care boards (ICBs) are responsible for the implementation of the National Institute for Health and Care Excellence’s (NICE) recommendations. ICBs develop commissioning policies for clinicians to determine eligibility and clinicians must have regard to NICE’s guidance.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 22/11/2022 11:50:58 answering member 4527 label Biography information for Helen Whately
	tabling member	234 label Biography information for Sir Gary Streeter

1601972

	registered interest
	date	07/03/2023
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will hold discussions with the National Diabetes Audit group on that group's decision not to include the rate of diabetes among children on their database.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	160220
	answer	answer is ministerial correction date of answer 13/03/2023 answer text <p>The National Clinical Audit and Patient Outcomes Programme includes two diabetes audits focusing on adults and children respectively due to the differences in the way that diabetes care and services are delivered for adults and children. The Data and Analytics Directorate at NHS England collect and analyse data relating to adults with diabetes for the National Diabetes Audit while the Royal College of Paediatric Child Health deliver the National Paediatric Diabetes Audit.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 13/03/2023 12:23:16 answering member 4527 label Biography information for Helen Whately
	tabling member	1409 label Biography information for Mr Gregory Campbell