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923151
unstar this property registered interest false more like this
star this property date less than 2018-06-13more like thismore than 2018-06-13
star this property answering body
Cabinet Office more like this
star this property answering dept id 53 more like this
star this property answering dept short name Cabinet Office more like this
unstar this property answering dept sort name Cabinet Office more like this
star this property hansard heading Absent Parents: Suicide more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty's Government what assessment they have made of the number of suicides since 2000 of separated fathers compared to those of separated mothers. more like this
star this property tabling member printed
Lord Pearson of Rannoch more like this
star this property uin HL8615 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2018-06-20more like thismore than 2018-06-20
star this property answer text <p>​The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply<del class="ministerial">.</del> <ins class="ministerial">and I will place the response in the Library of both houses.</ins></p><p> </p><p><em><strong>Letter from John Pullinger CB, National Statistician, to The Lord Pearson of Rannoch, dated 15 June 2018.</strong></em></p><p>Dear Lord Pearson,</p><p> </p><p>As National Statistician and Chief Executive of the UK Statistics Authority, I am replying to your Parliamentary Question asking about the number of suicides since 2000 of separated fathers compared to those of separated mothers <strong>(HL8615)</strong>.</p><p>The Office for National Statistics (ONS) publishes suicide rates for the UK, constituent countries, regions and local authorities in England and Wales in an annual bulletin[1].</p><p>The information we hold on deaths is limited to what is recorded on the Medical Certificate of Cause of Death by a doctor, provided to the registrar by the informant at the time of death registration, or recorded by a coroner following their inquest into the cause and circumstances of the death. We can provide the number of suicides per year by legal marital status, but we have no available information on whether the deceased was (a) separated at the time of death, that is, living apart from their partner; or (b) was a father or mother.</p><p> </p><p>Table 1 attached provides the numbers and crude rates per 100,00 persons of deaths due to suicide, by sex, for each year between 2000 and 2016 in England and Wales. The rates are broken down by marital status recorded at death. A copy has been placed in the House of Lords Library.</p><p> </p><p>Yours sincerely,</p><p> </p><p><strong>John Pullinger </strong></p><p> </p><p> </p><p> </p><p>[1]<a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2016registrations" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/bulletins/suicidesintheunitedkingdom/2016registrations</a></p><p> </p>
star this property answering member printed Lord Young of Cookham more like this
star this property question first answered
less than 2018-06-20T15:35:32.33Zmore like thismore than 2018-06-20T15:35:32.33Z
star this property question first ministerially corrected
less than 2018-06-22T13:43:52.93Zmore like thismore than 2018-06-22T13:43:52.93Z
star this property answering member
57
unstar this property label Biography information for Lord Young of Cookham more like this
star this property previous answer version
64664
star this property answering member printed Lord Young of Cookham more like this
star this property answering member
57
star this property label Biography information for Lord Young of Cookham more like this
star this property tabling member
3153
star this property label Biography information for Lord Pearson of Rannoch more like this
390599
unstar this property registered interest false more like this
star this property date less than 2015-07-16more like thismore than 2015-07-16
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Anaemia more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government what action they are taking to address the problems associated with the late diagnosis of pernicious anaemia, in the light of the results of the survey published in the <i>British Nursing Journal</i> in April 2014. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL1539 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-24more like thismore than 2015-07-24
star this property answer text <p>It is important that patients suffering from pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, receive a prompt and appropriate diagnosis. Pernicious anaemia develops gradually, and can cause a range of symptoms, including fatigue, lethargy, feeling faint and headaches, which vary from patient to patient. Because of the gradual progression of the condition, the variety of symptoms, which are shared with a range of other conditions, diagnosis at early onset can be challenging.</p><p>To support the diagnosis of pernicious anaemia, the British Committee for Standards in Haematology (BCSH) has published <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders,</em> which sets out that cobalamin status is the recommended first line diagnostic test. However, the guidance states that there is no gold standard test for the condition and makes it clear that the clinical picture of a patient is the most important factor in assessing the significance of the test results. This means clinicians should take into account all of the symptoms the patent is experiencing, their medical history, age and other relevant factors when considering the implications of a patient’s cobalamin status. The BCSH guidance highlights the risk of neurological impairment if treatment is delayed.</p><p><br /> The BCSH operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice in the diagnosis and treatment of patients with pernicious anaemia were needed, including whether any new or additional tests were appropriate. A copy of the BCSH guidance document <del class="ministerial">has already been placed in the Library and</del> is attached.</p><p><br /> More general clinical guidance on the diagnosis and management of pernicious anaemia can also be found on the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries website. This is a freely accessible online resource that covers the causes, symptoms, diagnosis and treatment of pernicious anaemia, as well as potential complications of the condition. In addition to this, NHS Choices provides similar, though less technical, information on pernicious anaemia for the public.</p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-24T13:21:19.45Zmore like thismore than 2015-07-24T13:21:19.45Z
star this property question first ministerially corrected
less than 2015-10-14T11:21:08.233Zmore like thismore than 2015-10-14T11:21:08.233Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property previous answer version
17459
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this
390600
unstar this property registered interest false more like this
star this property date less than 2015-07-16more like thismore than 2015-07-16
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Anaemia more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government how they propose to alert medical practitioners to the severe and irreversible nerve damage that can occur when pernicious anaemia is misdiagnosed. more like this
star this property tabling member printed
The Countess of Mar more like this
star this property uin HL1540 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-07-24more like thismore than 2015-07-24
star this property answer text <p>It is important that patients suffering from pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, receive a prompt and appropriate diagnosis. Pernicious anaemia develops gradually, and can cause a range of symptoms, including fatigue, lethargy, feeling faint and headaches, which vary from patient to patient. Because of the gradual progression of the condition, the variety of symptoms, which are shared with a range of other conditions, diagnosis at early onset can be challenging.</p><p>To support the diagnosis of pernicious anaemia, the British Committee for Standards in Haematology (BCSH) has published <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders,</em> which sets out that cobalamin status is the recommended first line diagnostic test. However, the guidance states that there is no gold standard test for the condition and makes it clear that the clinical picture of a patient is the most important factor in assessing the significance of the test results. This means clinicians should take into account all of the symptoms the patent is experiencing, their medical history, age and other relevant factors when considering the implications of a patient’s cobalamin status. The BCSH guidance highlights the risk of neurological impairment if treatment is delayed.</p><p><br /> The BCSH operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice in the diagnosis and treatment of patients with pernicious anaemia were needed, including whether any new or additional tests were appropriate. A copy of the BCSH guidance document <del class="ministerial">has already been placed in the Library and</del> is attached.</p><p><br /> More general clinical guidance on the diagnosis and management of pernicious anaemia can also be found on the National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summaries website. This is a freely accessible online resource that covers the causes, symptoms, diagnosis and treatment of pernicious anaemia, as well as potential complications of the condition. In addition to this, NHS Choices provides similar, though less technical, information on pernicious anaemia for the public.</p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-07-24T13:21:19.357Zmore like thismore than 2015-07-24T13:21:19.357Z
star this property question first ministerially corrected
less than 2015-10-14T11:21:19.847Zmore like thismore than 2015-10-14T11:21:19.847Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property previous answer version
17460
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property attachment
1
star this property file name colbalamin and folate disorders.pdf more like this
star this property title BCSH Guidelines pernicious anaemia more like this
star this property tabling member
1861
star this property label Biography information for The Countess of Mar more like this
419224
unstar this property registered interest false more like this
star this property date less than 2015-09-16more like thismore than 2015-09-16
star this property answering body
Home Office more like this
star this property answering dept id 1 more like this
star this property answering dept short name Home Office more like this
unstar this property answering dept sort name Home Office more like this
star this property hansard heading Asylum: Deportation more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government how many asylum seekers were deported from the United Kingdom in (1) 1990, (2) 2000, (3) 2010, and (4) 2014, on reaching the age of 18. more like this
star this property tabling member printed
Lord Roberts of Llandudno more like this
star this property uin HL2297 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-10-19more like thismore than 2015-10-19
star this property answer text <p>The Home Office does not keep electronic records on removals going as far back as 2000. Records of removals on the Immigration Database only go back to 2006. In 2010, <del class="ministerial">132</del> <ins class="ministerial">778</ins> failed asylum seekers were removed after reaching the age of 18. In 2014, <del class="ministerial">151</del> <ins class="ministerial">445 </ins>failed asylum seekers were removed after reaching the age of 18.</p> more like this
star this property answering member printed Lord Bates more like this
star this property question first answered
less than 2015-10-19T13:50:02.977Zmore like thismore than 2015-10-19T13:50:02.977Z
star this property question first ministerially corrected
less than 2016-03-24T14:22:55.107Zmore like thismore than 2016-03-24T14:22:55.107Z
star this property answering member
1091
unstar this property label Biography information for Lord Bates more like this
star this property previous answer version
24077
star this property answering member printed Lord Bates more like this
star this property answering member
1091
star this property label Biography information for Lord Bates more like this
star this property tabling member
3691
star this property label Biography information for Lord Roberts of Llandudno more like this
432083
unstar this property registered interest false more like this
star this property date less than 2015-11-24more like thismore than 2015-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Atrial Fibrillation: Diagnosis more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government what action they are taking to improve the diagnosis of atrial fibrillation. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL3856 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-12-08more like thismore than 2015-12-08
star this property answer text <p>NHS England is encouraging clinical commissioning groups to work with local practices to target people at risk of atrial fibrillation (AF). Innovative approaches such as pulse testing at flu clinics and by some dentists are being used to identify AF in older people. The NHS Health Check programme’s best practice guidance also recommends a pulse check is carried out as part of the process of taking a blood pressure reading. People found to have an irregular pulse rhythm should be referred to the general practitioner for further investigation.</p><br /><p>The National Institute for Health and Care Excellence (NICE) published an updated guideline on AF in June 2014. This offers evidence-based advice on the care and treatment of people with AF and includes recommendations on diagnosis. In July 2015 NICE also published a quality standard on AF.</p><br /><p>In addition to its clinical guideline on AF, NICE has published technology appraisal guidance on a number of new oral anticoagulants (NOACs), approving them for certain patients.</p><br /><p>There is a legal requirement on commissioners to provide funding for treatments and drugs recommended in NICE technology appraisal guidance within three months of the guidance being published.This is enshrined in the NHS Constitution as a right to NICE-approved drugs.</p><br /><p>A <a href="https://www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64" target="_blank">consensus statement</a> by the <a href="https://www.nice.org.uk/News/Article/new-collaborative-aims-to-increase-nice-guidance-uptake" target="_blank">NICE Implementation Collaborative</a> was published alongside NICE’s updated guideline in June 2014. This addresses some of the barriers to implementing NICE’s recommendations on prescribing NOACs.</p><br /><p>The need to reduce variation and strengthen compliance of the uptake of NICE technology appraisals was identified in <em>Innovation Health and Wealth</em>, published in December 2011. In response, NHS England and the Health and Social Care Information Centre now publishes on a quarterly basis an Innovation Scorecard to enable commissioners to benchmark their own position and increase transparency to patients and the public. This assists the NHS in the identification of variation and the adoption of treatments such as NOACs that are recommended in NICE technology appraisals. In addition, NHS England advises that it expects practitioners to consider anticoagulant treatments in line with NICE guidelines.</p><p>Some progress is being made. The uptake of NOACs across England has doubled in recent years from 45,708 per 100,000 of the resident population in 2013-14 to 126,845 in 2014-15.</p><br /><p><del class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</del></p><br /><p><del class="ministerial">Copies of the guidance referred to have been placed in the Library.</del></p><p><ins class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</ins></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">Copies of the guidance referred to, excluding GRASP-AF have been placed in the Library.</ins></p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-12-08T12:43:31.287Zmore like thismore than 2015-12-08T12:43:31.287Z
star this property question first ministerially corrected
less than 2015-12-09T13:43:14.663Zmore like thismore than 2015-12-09T13:43:14.663Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
34228
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
432082
unstar this property registered interest false more like this
star this property date less than 2015-11-24more like thismore than 2015-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Atrial Fibrillation: Screening more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government what action they are taking to promote opportunistic screening for atrial fibrillation. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL3855 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-12-08more like thismore than 2015-12-08
star this property answer text <br /><p>NHS England is encouraging clinical commissioning groups to work with local practices to target people at risk of atrial fibrillation (AF). Innovative approaches such as pulse testing at flu clinics and by some dentists are being used to identify AF in older people. The NHS Health Check programme’s best practice guidance also recommends a pulse check is carried out as part of the process of taking a blood pressure reading. People found to have an irregular pulse rhythm should be referred to the general practitioner for further investigation.</p><br /><p>The National Institute for Health and Care Excellence (NICE) published an updated guideline on AF in June 2014. This offers evidence-based advice on the care and treatment of people with AF and includes recommendations on diagnosis. In July 2015 NICE also published a quality standard on AF.</p><br /><p>In addition to its clinical guideline on AF, NICE has published technology appraisal guidance on a number of new oral anticoagulants (NOACs), approving them for certain patients.</p><br /><p>There is a legal requirement on commissioners to provide funding for treatments and drugs recommended in NICE technology appraisal guidance within three months of the guidance being published.This is enshrined in the NHS Constitution as a right to NICE-approved drugs.</p><br /><p>A <a href="https://www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64" target="_blank">consensus statement</a> by the <a href="https://www.nice.org.uk/News/Article/new-collaborative-aims-to-increase-nice-guidance-uptake" target="_blank">NICE Implementation Collaborative</a> was published alongside NICE’s updated guideline in June 2014. This addresses some of the barriers to implementing NICE’s recommendations on prescribing NOACs.</p><br /><p>The need to reduce variation and strengthen compliance of the uptake of NICE technology appraisals was identified in <em>Innovation Health and Wealth</em>, published in December 2011. In response, NHS England and the Health and Social Care Information Centre now publishes on a quarterly basis an Innovation Scorecard to enable commissioners to benchmark their own position and increase transparency to patients and the public. This assists the NHS in the identification of variation and the adoption of treatments such as NOACs that are recommended in NICE technology appraisals. In addition, NHS England advises that it expects practitioners to consider anticoagulant treatments in line with NICE guidelines.</p><p>Some progress is being made. The uptake of NOACs across England has doubled in recent years from 45,708 per 100,000 of the resident population in 2013-14 to 126,845 in 2014-15.</p><br /><p><del class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</del></p><br /><p><del class="ministerial">Copies of the guidance referred to have been placed in the Library.</del></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</ins></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">Copies of the guidance referred to, excluding GRASP-AF have been placed in the Library.</ins></p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-12-08T12:43:31.24Zmore like thismore than 2015-12-08T12:43:31.24Z
star this property question first ministerially corrected
less than 2015-12-09T13:42:42.943Zmore like thismore than 2015-12-09T13:42:42.943Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
34227
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
432084
unstar this property registered interest false more like this
star this property date less than 2015-11-24more like thismore than 2015-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Atrial Fibrillation: Strokes more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government what assessment they have made of how many strokes related to atrial fibrillation could be prevented each year through the roll-out of GRASP-AF in primary care. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL3857 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-12-08more like thismore than 2015-12-08
star this property answer text <p>NHS England is encouraging clinical commissioning groups to work with local practices to target people at risk of atrial fibrillation (AF). Innovative approaches such as pulse testing at flu clinics and by some dentists are being used to identify AF in older people. The NHS Health Check programme’s best practice guidance also recommends a pulse check is carried out as part of the process of taking a blood pressure reading. People found to have an irregular pulse rhythm should be referred to the general practitioner for further investigation.</p><br /><p>The National Institute for Health and Care Excellence (NICE) published an updated guideline on AF in June 2014. This offers evidence-based advice on the care and treatment of people with AF and includes recommendations on diagnosis. In July 2015 NICE also published a quality standard on AF.</p><br /><p>In addition to its clinical guideline on AF, NICE has published technology appraisal guidance on a number of new oral anticoagulants (NOACs), approving them for certain patients.</p><br /><p>There is a legal requirement on commissioners to provide funding for treatments and drugs recommended in NICE technology appraisal guidance within three months of the guidance being published.This is enshrined in the NHS Constitution as a right to NICE-approved drugs.</p><br /><p>A <a href="https://www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64" target="_blank">consensus statement</a> by the <a href="https://www.nice.org.uk/News/Article/new-collaborative-aims-to-increase-nice-guidance-uptake" target="_blank">NICE Implementation Collaborative</a> was published alongside NICE’s updated guideline in June 2014. This addresses some of the barriers to implementing NICE’s recommendations on prescribing NOACs.</p><br /><p>The need to reduce variation and strengthen compliance of the uptake of NICE technology appraisals was identified in <em>Innovation Health and Wealth</em>, published in December 2011. In response, NHS England and the Health and Social Care Information Centre now publishes on a quarterly basis an Innovation Scorecard to enable commissioners to benchmark their own position and increase transparency to patients and the public. This assists the NHS in the identification of variation and the adoption of treatments such as NOACs that are recommended in NICE technology appraisals. In addition, NHS England advises that it expects practitioners to consider anticoagulant treatments in line with NICE guidelines.</p><p>Some progress is being made. The uptake of NOACs across England has doubled in recent years from 45,708 per 100,000 of the resident population in 2013-14 to 126,845 in 2014-15.</p><br /><p><del class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</del></p><br /><p><del class="ministerial">Copies of the guidance referred to have been placed in the Library.</del></p><p><ins class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</ins></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">Copies of the guidance referred to, excluding GRASP-AF have been placed in the Library.</ins></p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-12-08T12:43:31.333Zmore like thismore than 2015-12-08T12:43:31.333Z
star this property question first ministerially corrected
less than 2015-12-09T13:43:28.1Zmore like thismore than 2015-12-09T13:43:28.1Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
34229
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
432085
unstar this property registered interest false more like this
star this property date less than 2015-11-24more like thismore than 2015-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Atrial Fibrillation: Strokes more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government what action they are taking to promote the implementation of NICE guidance on prescribing anticoagulants for the prevention of strokes related to atrial fibrillation. more like this
star this property tabling member printed
Baroness Masham of Ilton more like this
star this property uin HL3858 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-12-08more like thismore than 2015-12-08
star this property answer text <p>NHS England is encouraging clinical commissioning groups to work with local practices to target people at risk of atrial fibrillation (AF). Innovative approaches such as pulse testing at flu clinics and by some dentists are being used to identify AF in older people. The NHS Health Check programme’s best practice guidance also recommends a pulse check is carried out as part of the process of taking a blood pressure reading. People found to have an irregular pulse rhythm should be referred to the general practitioner for further investigation.</p><br /><p>The National Institute for Health and Care Excellence (NICE) published an updated guideline on AF in June 2014. This offers evidence-based advice on the care and treatment of people with AF and includes recommendations on diagnosis. In July 2015 NICE also published a quality standard on AF.</p><br /><p>In addition to its clinical guideline on AF, NICE has published technology appraisal guidance on a number of new oral anticoagulants (NOACs), approving them for certain patients.</p><br /><p>There is a legal requirement on commissioners to provide funding for treatments and drugs recommended in NICE technology appraisal guidance within three months of the guidance being published.This is enshrined in the NHS Constitution as a right to NICE-approved drugs.</p><br /><p>A <a href="https://www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64" target="_blank">consensus statement</a> by the <a href="https://www.nice.org.uk/News/Article/new-collaborative-aims-to-increase-nice-guidance-uptake" target="_blank">NICE Implementation Collaborative</a> was published alongside NICE’s updated guideline in June 2014. This addresses some of the barriers to implementing NICE’s recommendations on prescribing NOACs.</p><br /><p>The need to reduce variation and strengthen compliance of the uptake of NICE technology appraisals was identified in <em>Innovation Health and Wealth</em>, published in December 2011. In response, NHS England and the Health and Social Care Information Centre now publishes on a quarterly basis an Innovation Scorecard to enable commissioners to benchmark their own position and increase transparency to patients and the public. This assists the NHS in the identification of variation and the adoption of treatments such as NOACs that are recommended in NICE technology appraisals. In addition, NHS England advises that it expects practitioners to consider anticoagulant treatments in line with NICE guidelines.</p><p>Some progress is being made. The uptake of NOACs across England has doubled in recent years from 45,708 per 100,000 of the resident population in 2013-14 to 126,845 in 2014-15.</p><br /><p><del class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</del></p><br /><p><del class="ministerial">Copies of the guidance referred to have been placed in the Library.</del></p><p><ins class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</ins></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">Copies of the guidance referred to, excluding GRASP-AF have been placed in the Library.</ins></p>
star this property answering member printed Lord Prior of Brampton more like this
star this property question first answered
less than 2015-12-08T12:43:31.4Zmore like thismore than 2015-12-08T12:43:31.4Z
star this property question first ministerially corrected
less than 2015-12-09T13:43:51.933Zmore like thismore than 2015-12-09T13:43:51.933Z
star this property answering member
127
unstar this property label Biography information for Lord Prior of Brampton more like this
star this property previous answer version
34230
star this property answering member printed Lord Prior of Brampton more like this
star this property answering member
127
star this property label Biography information for Lord Prior of Brampton more like this
star this property tabling member
1850
star this property label Biography information for Baroness Masham of Ilton more like this
420547
unstar this property registered interest false more like this
star this property date less than 2015-10-12more like thismore than 2015-10-12
star this property answering body
Ministry of Justice more like this
star this property answering dept id 54 more like this
star this property answering dept short name Justice more like this
unstar this property answering dept sort name Justice more like this
star this property hansard heading Bill of Rights more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty’s Government when they intend to publish proposals for a British Bill of Rights. more like this
star this property tabling member printed
Lord Falconer of Thoroton more like this
star this property uin HL2522 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2015-10-26more like thismore than 2015-10-26
star this property answer text <p>This Government will fully consult on our proposals before introducing legislation for a British Bill of Rights. Further details<del class="ministerial">, including on timing,</del> will be announced in due course.</p> more like this
star this property answering member printed Lord Faulks more like this
star this property question first answered
less than 2015-10-26T16:36:18.01Zmore like thismore than 2015-10-26T16:36:18.01Z
star this property question first ministerially corrected
less than 2015-10-26T17:54:15.087Zmore like thismore than 2015-10-26T17:54:15.087Z
star this property answering member
4183
unstar this property label Biography information for Lord Faulks more like this
star this property previous answer version
25719
star this property answering member printed Lord Faulks more like this
star this property answering member
4183
star this property label Biography information for Lord Faulks more like this
star this property tabling member
2758
star this property label Biography information for Lord Falconer of Thoroton more like this
897311
unstar this property registered interest false more like this
star this property date less than 2018-05-03more like thismore than 2018-05-03
star this property answering body
Department for Exiting the European Union more like this
star this property answering dept id 203 more like this
star this property answering dept short name Exiting the European Union more like this
unstar this property answering dept sort name Exiting the European Union more like this
star this property hansard heading Brexit more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords remove filter
star this property question text To ask Her Majesty's Government whether they will place in the library of the House a copy of the document Draft agreement on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community recently transmitted to the UK authorities for negotiation; and what plans they have for initiating, or involving the UK Parliament in, consideration of that document. more like this
star this property tabling member printed
Lord Balfe more like this
star this property uin HL7542 more like this
star this property answer
answer
unstar this property is ministerial correction true more like this
star this property date of answer less than 2018-05-16more like thismore than 2018-05-16
star this property answer text <p>The Draft agreement on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community was published on 19 March 2018 on gov.uk. It was accessible to peers in the Printed Paper office but will now be <strong><ins class="ministerial">deposited</ins></strong><del class="ministerial">made available</del> in the library of the House.</p><p><strong> </strong></p><p>The Secretary of State for Exiting the European Union has recently given evidence to the Exiting the EU Committee and the European Union Committee, on 25 April and 1 May respectively, where he discussed at length issues relating to the draft withdrawal agreement.</p><p><strong> </strong></p><p>Lord Boswell of Aynho, as Chairman of the European Union Committee, wrote to the Secretary of State on 21 March with 24 questions regarding the draft withdrawal agreement. The Secretary of State responded in detail to the Committee's questions in writing on 19 April.</p><p><strong> </strong></p><p>This is in addition to a wide range of other parliamentary activity undertaken by select committees in scrutinising particular elements of what is expected to constitute part of the eventual Withdrawal Agreement - and the Government has been clear that the withdrawal agreement will be subject to a vote in both Houses of Parliament.</p>
star this property answering member printed Lord Callanan more like this
star this property question first answered
less than 2018-05-10T14:43:22.697Zmore like thismore than 2018-05-10T14:43:22.697Z
star this property question first ministerially corrected
less than 2018-05-16T11:13:00.000Zmore like thismore than 2018-05-16T11:13:00.000Z
star this property answering member
4336
unstar this property label Biography information for Lord Callanan more like this
star this property previous answer version
57146
star this property answering member printed Lord Callanan more like this
star this property answering member
4336
star this property label Biography information for Lord Callanan more like this
star this property tabling member
4302
star this property label Biography information for Lord Balfe more like this