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1138874

registered interest
date	15/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Telemedicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to promote the digital delivery of (a) structured education and (b) diabetes management services for people with (i) type 1 and (ii) type 2 diabetes.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	277230
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277232 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129851 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4505 label Biography information for Peter Kyle

1138875

registered interest
date	15/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Telemedicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many and what proportion of CCGs commission services to enable patients with (a) type 1 and (b) type 2 diabetes to access remote online consultations with healthcare professionals.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	277231
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>NHS England does not collect this information.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:38:17 answering member 4455 label Biography information for Seema Kennedy previous answer version 129847 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4505 label Biography information for Peter Kyle

1138876

registered interest
date	15/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Advisory Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to promote the use of coaching solutions to support patients with (a) type 1 diabetes and (b) type 2 diabetes manage their condition.
tabling member constituency	Hove
tabling member printed	Peter Kyle
uin	277232
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277230 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129850 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4505 label Biography information for Peter Kyle

1138888

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	Sickle Cell Diseases: 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 23 May 2019 to Question 256313 on Sickle Cell Diseases, which services (a) NHS England, (b) clinical commissioning groups and (c) other public bodies commission for people with sickle cell disease; and what the per capita annual cost is of providing each of those services.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	277137
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>NHS England commissions specialised services for people living with sickle cell disease. These services are part of the specialised haemoglobinopathy services commissioned by NHS England across the country. NHS England spends over £60 million on sickle cell disease within these services annually - £60.4 million in 2017/18. Information about the services provided by individual clinical commissioning groups or other public bodies is not collected or held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:46:21 answering member 4455 label Biography information for Seema Kennedy previous answer version 129855 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	1533 label Biography information for Dame Diana Johnson

1138906

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	HIV Infection: Drugs
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 273480 to Question 273480 on HIV Infection: Canterbury, what steps he is taking to ensure adequate funding for PrEP after September 2020.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	277260
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The 36 month pre-exposure prophylaxis (PrEP) Impact Trial is scheduled to continue until autumn 2020. Work is now starting to consider future commissioning for PrEP after the Trial has ended, which includes consideration of funding options.</p><p>The PrEP Impact trial is managed by the Trial Sponsor. Recruitment to places in the Trial is managed locally by participating clinics. Information on why the Gate Clinic at Kent and Canterbury Hospital is not open to gay and bisexual men is not held centrally.</p><p>Following funding from NHS England to pay for extra PrEP drug and research costs and the Secretary of State’s announcement on 30 January that the number of places on the PrEP Impact Trial would be doubled to 26,000, expansion of the Trial is now underway across the country. Participation in the Trial is on a voluntary basis and it is for research clinics and local authorities to decide whether they wish to take part and the number of allocated places they can accept.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277261 277262 question first answered 19/07/2019 09:39:20 answering member 4455 label Biography information for Seema Kennedy previous answer version 129848 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4616 label Biography information for Rosie Duffield

1138907

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	Genito-urinary Medicine: Canterbury
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 9 July 2019 to Question 273480 on 273480, for what reason the Gate Clinic at Kent and Canterbury Hospital is not open to gay and bisexual men.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	277261
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The 36 month pre-exposure prophylaxis (PrEP) Impact Trial is scheduled to continue until autumn 2020. Work is now starting to consider future commissioning for PrEP after the Trial has ended, which includes consideration of funding options.</p><p>The PrEP Impact trial is managed by the Trial Sponsor. Recruitment to places in the Trial is managed locally by participating clinics. Information on why the Gate Clinic at Kent and Canterbury Hospital is not open to gay and bisexual men is not held centrally.</p><p>Following funding from NHS England to pay for extra PrEP drug and research costs and the Secretary of State’s announcement on 30 January that the number of places on the PrEP Impact Trial would be doubled to 26,000, expansion of the Trial is now underway across the country. Participation in the Trial is on a voluntary basis and it is for research clinics and local authorities to decide whether they wish to take part and the number of allocated places they can accept.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277260 277262 question first answered 19/07/2019 09:39:20 answering member 4455 label Biography information for Seema Kennedy previous answer version 129846 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4616 label Biography information for Rosie Duffield

1138908

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	HIV Infection: Drugs
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 9 July 2019 to Question 273480 on HIV Infection: Canterbury, if he will take steps to ensure that gay and bisexual men in Canterbury have access to PrEP.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	277262
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The 36 month pre-exposure prophylaxis (PrEP) Impact Trial is scheduled to continue until autumn 2020. Work is now starting to consider future commissioning for PrEP after the Trial has ended, which includes consideration of funding options.</p><p>The PrEP Impact trial is managed by the Trial Sponsor. Recruitment to places in the Trial is managed locally by participating clinics. Information on why the Gate Clinic at Kent and Canterbury Hospital is not open to gay and bisexual men is not held centrally.</p><p>Following funding from NHS England to pay for extra PrEP drug and research costs and the Secretary of State’s announcement on 30 January that the number of places on the PrEP Impact Trial would be doubled to 26,000, expansion of the Trial is now underway across the country. Participation in the Trial is on a voluntary basis and it is for research clinics and local authorities to decide whether they wish to take part and the number of allocated places they can accept.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277260 277261 question first answered 19/07/2019 09:39:20 answering member 4455 label Biography information for Seema Kennedy previous answer version 129845 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4616 label Biography information for Rosie Duffield

1139007

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	Propranolol: Somerset
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 make an assessment of the adequacy of supply of the drug Actavis Propranolol in pharmacies in (a) North East Somerset and (b) Somerset.
tabling member constituency	North East Somerset
tabling member printed	Mr Jacob Rees-Mogg
uin	277188
answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Department is assured the supply of Actavis immediate release propranolol tablets is sufficient to meet normal demand. Actavis modified release propranolol capsules are currently unavailable. However, they are expected to be back in stock by the end of July and supplies of generic propranolol capsules are currently available from an alternative manufacturer. The Department does not have information on stock holding of propranolol at a local level.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:37:33 answering member 4455 label Biography information for Seema Kennedy previous answer version 129853 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4099 label Biography information for Sir Jacob Rees-Mogg