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971303

registered interest
date	10/09/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the primary outcome results of the Diabetes Remission Clinical Trial.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	172640
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>NHS England is aware of the literature that has been published to date in relation to the DiRECT Trial, and are of the view that the results of the trial suggest that very low calorie diets could potentially be highly impactful if it should prove possible to deliver the intervention at scale.</p><p> </p><p>At present, the duration of the effect of the intervention trialled (i.e. the duration of any period of remission) is unknown and NHS England has not yet seen a cost effectiveness analysis, or other economic data from the trial. It is therefore not yet possible to establish the overall effectiveness of the intervention at this time. Whilst waiting for the two year outcomes data to be published, NHS England is exploring opportunities to pilot these approaches at greater scale to further understand their potential.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/09/2018 12:54:35 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

971304

registered interest
date	10/09/2018
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	Patients: Transport
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 establish an urgent investigation into (a) the application of the eligibility criteria for accessing and (b) other aspects of the operation of patient transport services in the south-west.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	172408
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>The delivery of effective Patient Transport Services (PTS) and the application of eligibility criteria in line with the national guidance are matters for local National Health Service clinical commissioning groups (CCGs). The existing national guidance makes clear that eligibility for PTS is based on medical need, and that patients should reach appointments in a reasonable time, in reasonable comfort, and without detriment to their medical condition. CCGs must ensure that services are provided to this specification.</p><p> </p><p>To ensure the central guidance is fit for purpose for the needs of patients in future, by the end of 2018 NHS England and NHS Improvement will jointly undertake a scoping exercise which will inform the approach to refreshing the guidance.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172409 question first answered 13/09/2018 09:43:51 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

971305

registered interest
date	10/09/2018
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	Patients: Transport
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason NHS England and his Department have not provided new or more detailed guidance to clinical commissioning groups on the eligibility criteria for non-emergency patient transport since 2010.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	172409
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>The delivery of effective Patient Transport Services (PTS) and the application of eligibility criteria in line with the national guidance are matters for local National Health Service clinical commissioning groups (CCGs). The existing national guidance makes clear that eligibility for PTS is based on medical need, and that patients should reach appointments in a reasonable time, in reasonable comfort, and without detriment to their medical condition. CCGs must ensure that services are provided to this specification.</p><p> </p><p>To ensure the central guidance is fit for purpose for the needs of patients in future, by the end of 2018 NHS England and NHS Improvement will jointly undertake a scoping exercise which will inform the approach to refreshing the guidance.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172408 question first answered 13/09/2018 09:43:51 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

971325

registered interest
date	10/09/2018
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	Cancer: Surgery
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 cancer related operations have been carried out at (a) Royal Lancaster Infirmary, (b) Furness General Hospital and (c) Westmorland General Hospital in each of the last ten years.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	172494
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Information on the number of cancer-related operations is not held centrally.</p><p> </p><p>The information on the number of chemotherapy treatments undertaken is not available in the format requested. A count of finished consultant episodes (FCE) data with a primary diagnosis of cancer, receiving a treatment of chemotherapy is provided for University Hospitals of Morecambe Bay NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust and Lancashire Teaching Hospitals NHS Foundation Trust, between the years 2007-08 to 2016-17 and is attached.</p><p> </p><p>Nationally there has been a continuing rise in demand for cancer services, with urgent general practitioner referrals for cancer rising by over 70,000 compared to last year.</p><p> </p><p>Achieving the 62-day standard was a key objective in the Government’s mandate to NHS England for 2017-18 and this has been rolled forward into 2018-19. NHS England is investing this year in initiatives to recover and maintain the 62-day standard nationally, such as pathway coordinators and timed, standardised pathways.</p><p> </p><p>The National Health Service is committed to achieving the 62-day cancer waiting times standard in 2018/19, and to maintaining performance against the other cancer waiting times standards.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172495 question first answered 17/09/2018 12:53:18 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ172495 - Chemotherapy Treatment - Format.xlsx title PQ172494,172495 attached document
tabling member	1591 label Biography information for Tim Farron

971326

registered interest
date	10/09/2018
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	Chemotherapy: North West
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 chemotherapy treatments were undertaken at (a) Royal Lancaster Infirmary, (b) Furness General Hospital and (c) Westmorland General Hospital in each of the last ten years.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	172495
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Information on the number of cancer-related operations is not held centrally.</p><p> </p><p>The information on the number of chemotherapy treatments undertaken is not available in the format requested. A count of finished consultant episodes (FCE) data with a primary diagnosis of cancer, receiving a treatment of chemotherapy is provided for University Hospitals of Morecambe Bay NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust and Lancashire Teaching Hospitals NHS Foundation Trust, between the years 2007-08 to 2016-17 and is attached.</p><p> </p><p>Nationally there has been a continuing rise in demand for cancer services, with urgent general practitioner referrals for cancer rising by over 70,000 compared to last year.</p><p> </p><p>Achieving the 62-day standard was a key objective in the Government’s mandate to NHS England for 2017-18 and this has been rolled forward into 2018-19. NHS England is investing this year in initiatives to recover and maintain the 62-day standard nationally, such as pathway coordinators and timed, standardised pathways.</p><p> </p><p>The National Health Service is committed to achieving the 62-day cancer waiting times standard in 2018/19, and to maintaining performance against the other cancer waiting times standards.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172494 question first answered 17/09/2018 12:53:18 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ172495 - Chemotherapy Treatment - Format.xlsx title PQ172494,172495 attached document
tabling member	1591 label Biography information for Tim Farron

971413

registered interest
date	10/09/2018
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	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what criteria is used to determine the referral of families to tertiary centres for the management of epilepsy.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172557
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172558 172559 172562 question first answered 17/09/2018 14:03:36 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971414

registered interest
date	10/09/2018
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	Epilepsy: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of compliance with NICE guidance for children and young people with epilepsy during the transition of care to adult services.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172558
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172559 172562 question first answered 17/09/2018 14:03:37 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971415

registered interest
date	10/09/2018
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	Epilepsy: Diets
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 the accessibility of (a) guidance and (b) information on ketogenic diet for patients with epilepsy; and if he will make a statement.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172559
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172558 172562 question first answered 17/09/2018 14:03:37 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971418

registered interest
date	10/09/2018
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	Epilepsy: Diets
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effectiveness of the implementation of the ketogenic diet for young people with epilepsy that are cared for in their own home.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	172562
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>No assessment has been made on the effectiveness of the implementation of a ketogenic diet for young people with epilepsy who are cared for in their own home. A ketogenic diet (high in fat and low in carbohydrates) may reduce seizures for some children whose epilepsy cannot be successfully managed with drugs. Information for the public on the use of ketogenic diets in the treatment of epilepsy is available on the NHS Choices website and is also provided by Epilepsy Action and the Epilepsy Society, the two leading charities for the condition in England. Information provided via NHS Choices can be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx" target="_blank">www.nhs.uk/Conditions/Epilepsy/Pages/Treatment.aspx</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline, ‘The diagnosis and management of the epilepsies in adults and children in primary and secondary care’, published in 2012 and updated in 2018, sets out best practice for clinicians in the treatment of children with epilepsy. All children, young people and adults with epilepsy should have access via their specialist to a tertiary service when circumstances require. The NICE guideline states that if seizures are not controlled and/or there is diagnostic uncertainty or treatment failure, children, young people and adults should be referred to tertiary services soon for further assessment.</p><p> </p><p>The NICE guidance also makes clear that a named clinician should assume responsibility for the ongoing management of the young person with epilepsy during adolescence to ensure smooth transition of care to adult services. Whilst the Department does not directly assess compliance with NICE guidance, we expect commissioners to take it, and other examples of evidence based best practice, into account when planning and delivering services for local populations. The NICE guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813" target="_blank">www.nice.org.uk/guidance/cg137/resources/epilepsies-diagnosis-and-management-pdf-35109515407813</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172557 172558 172559 question first answered 17/09/2018 14:03:36 answering member 4067 label Biography information for Steve Brine
tabling member	4523 label Biography information for Catherine West

971495

registered interest
date	10/09/2018
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	General Practitioners: Data Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what support the Government provided to GP surgeries to prepare for the introduction of the General Data Protection Regulation.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	172605
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The implications of the General Data Protection Regulation on general practitioner practices have been raised with NHS England as part of the wider General Medical Services contract review discussions.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 172606 question first answered 17/09/2018 12:50:04 answering member 4067 label Biography information for Steve Brine
tabling member	3973 label Biography information for Grahame Morris