Show Search Form

Search Results

registered interest	true false
date	exactly: or between: and
answering body
answering dept id
answering dept short name
answering dept sort name
hansard heading
house id
legislature	pref label
question text
tabling member constituency
tabling member printed
uin
answer	is ministerial correction true false date of answer exactly: or between: and answer text answering member constituency answering member printed question first answered answering member label
tabling member	label

Search

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

969161

registered interest
date	06/09/2018
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	Gemtuzumab Ozogamicin
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which Care Commissioning Groups make provide access to drug Mylotarg.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171285
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS England, not clinical commissioning groups, is responsible for commissioning most cancer drugs in the National Health Service in England, including gemtuzumab ozogamicin (Mylotarg) for the treatment of untreated acute myeloid leukaemia (AML). NHS England does not currently routinely fund gemtuzumab ozogamicin for the treatment of untreated AML, pending the outcome of the ongoing National Institute for Health and Care Excellence (NICE) technology appraisal. NICE published draft guidance for consultation on the use of gemtuzumab ozogamicin for untreated AML and is currently considering the comments received on its draft recommendations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 16:26:07 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969181

registered interest
date	06/09/2018
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, how many people have (a) been referred to and (b) joined the NHS diabetes prevention programme.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171286
answer	answer is ministerial correction date of answer 14/09/2018 answer text <p>The NHS Diabetes Prevention Programme commenced roll out in June 2016 and, at the end of July 2018, 252,130 at risk individuals have been referred into the service and 107,254 individuals have now had an initial assessment. In 2018/19 the NHS Diabetes Prevention Programme achieved full national roll out, with services available to patients in every sustainability and transformation partnership in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2018 13:37:22 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969184

registered interest
date	06/09/2018
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	Food: Labelling
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 are being taken to improve the clarification of calorific food labelling in order to achieve his Department's 2024 calorie reduction targets.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171287
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>As part of chapter 2 of the childhood obesity plan, we will be launching a consultation on introducing consistent calorie labelling for the out of home sector later this year.</p><p> </p><p>We are also considering the opportunities offered by exiting the European Union, which include giving us greater flexibility to determine what information should be presented on packaged food and how it should be displayed, and we will work alongside industry and other stakeholders to decide what will be next for front of pack nutrition labelling. We want to build on the success of our current scheme and ensure we are using the most effective ways to communicate information to families.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 13:20:16 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969186

registered interest
date	06/09/2018
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 and Obesity
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 provide specialist bariatric weight assessment and management clinics for patients (a) with diabetes and (b) that are classified as obese.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171288
answer	answer is ministerial correction date of answer 14/09/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning complex obesity services for adults, which include all bariatric surgical procedures and the associated care. Children’s bariatric surgery remains the responsibility of NHS England Specialised Services.</p><p> </p><p>When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2018 10:40:13 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969188

registered interest
date	06/09/2018
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	Obesity: 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 bariatric operations were performed in (a) 2015, (b) 2016, (c) 2017 and (d) 2018 to date.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171289
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS Digital has provided a count of finished consultant episodes (FCE)<sup>1</sup> where bariatric operations were performed between the financial years 2014/15 to 2017/18 (provisional data)<sup>2,3</sup>.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>FCE</p></td></tr><tr><td><p>2014/15</p></td><td><p>6,122</p></td></tr><tr><td><p>2015/16</p></td><td><p>6,547</p></td></tr><tr><td><p>2016/17</p></td><td><p>6,876</p></td></tr><tr><td><p>2017/18</p></td><td><p>7,016 (Provisional)</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p><sup>2</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p> </p><p>It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p><sup>3</sup>The data are provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final data set. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 16:10:38 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

969189

registered interest
date	06/09/2018
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	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost is of a bariatric operation.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	171290
answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>NHS Improvement has provided the national average unit cost of delivering bariatric procedures based on the 2016/17 reference costs submitted by providers for elective care. This information is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Procedure</p></td><td><p>National Average Unit Cost</p></td></tr><tr><td><p>Complex Surgical Procedures for Obesity</p></td><td><p>£4,548</p></td></tr><tr><td><p>Major Surgical Procedures for Obesity</p></td><td><p>£4,981</p></td></tr><tr><td><p>Sleeve Gastrectomy for Obesity</p></td><td><p>£4,444</p></td></tr><tr><td><p>Gastric Band Procedures for Obesity</p></td><td><p>£2,939</p></td></tr><tr><td><p>Adjustment of Gastric Band for Obesity</p></td><td><p>£1,870</p></td></tr></tbody></table> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 13:19:23 answering member 4067 label Biography information for Steve Brine
tabling member	338 label Biography information for Keith Vaz

946904

registered interest
date	23/07/2018
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress his Department has made on the implementation of the Cancer Strategy in relation to breast cancer.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	167281
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>NHS England is committed to transforming cancer care across England for all cancers, including breast cancer, aiming to reduce inequality and promoting equity of access to services. To support this ambition, NHS England has committed more than £200 million in 2017/18 and 2018/19 to fund Cancer Alliances to accelerate early diagnosis of cancer, improve survival and enhance quality of life.</p><p> </p><p>In February 2018, in partnership with the Department and NHS England, Public Health England (PHE) launched a Be Clear on Cancer Campaign focused on Breast Cancer in women aged over 70 to raise awareness of specific symptoms and encourage those with symptoms to visit their doctor.</p><p> </p><p>To improve the uptake of screening, NHS England is continuing to invest in initiatives to help ensure equality of access, including through locally targeted interventions. These include text and general practitioner reminders and PHE’s new ‘Breast screening: easy guide’, which helps women decide whether screening is right for them.</p><p> </p><p>NHS England agreed a Commercial Access Agreement with Roche for Kadcyla (trastuzumab emtansine) which brought the confidential purchase price below the National Institute for Health and Care Excellence cost-effectiveness threshold, allowing approval in routine commissioning. This is offering breast cancer patients precious quality time with their families without damaging side effects.</p><p> </p><p>Finally, we are committed to rolling out stratified follow-up pathways for breast cancer patients by 2020, to ensure patients get the right care after treatment, including information and support to spot signs and symptoms of recurrence or secondary cancer. As well as providing a better experience for patients and ensuring they have the information they need, stratified pathways can offer more effective use of resources by freeing up outpatient capacity. They can also ensure that in cases where there is recurrence or secondary cancer, patients are supported to return to care quickly and effectively.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/09/2018 16:03:08 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

944713

registered interest
date	19/07/2018
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	Acupuncture
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 Clinical Commissioning Groups have adequate funding to maintain the provision of NHS-funded acupuncture services.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	166178
answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>Clinical commissioning group (CCG) funding is determined through the CCG funding allocation formula, a statistical formula used to make geographic distribution of funding fair and reflective of local healthcare needs. CCGs have a statutory responsibility to commission services which meet the needs of their local population, however the National Health Service does not have unlimited resources and CCGs may have to make difficult decisions about commissioning high-quality care cost-effectively.</p><p> </p><p>CCGs have the flexibility within the legislative framework to decide how far to commission these functions and have the flexibility to commission any service provider that meets NHS standards and costs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/07/2018 10:47:21 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

944723

registered interest
date	19/07/2018
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	Bowel Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure the provision of systematic screening for Lynch Syndrome for people diagnosed with bowel cancer in (a) Barnsley, (b) South Yorkshire and (c) Yorkshire.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	166180
answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>In February 2017, testing for Lynch syndrome was recommended by the National Institute for Health and Care Excellence (NICE) as important in identifying genetic predisposition to bowel cancer, which could lead to better outcomes for patients through earlier diagnosis and treatment. The NICE guideline does not carry a funding direction and therefore commissioners, clinical commissioning groups (CCGs) and NHS England, need to consider the implementation of the guidance alongside other priorities and any financial impact on pathology services and genetic testing services. Also, the NICE guidance recommends, but does not mandate, how healthcare professionals should apply the guidance to those diagnosed with bowel cancer.</p><p> </p><p>Barnsley, alongside other CCGs in the area, currently use a testing service in Leeds. It is not commissioned as it is being provided free of charge as part of a pilot piece of work. Referrals are made where hospital clinicians judge this to be appropriate. However, the Cancer Alliance is looking at future options in the expectation that the free provision in Leeds may stop once the current pilot ends.</p><p> </p><p>NHS England will be working with CCG pathology service commissioners during 2018/19 to determine whether they can jointly develop a policy proposition relating to genetic testing for Lynch syndrome that takes into account the NICE guideline and helps to ensure that patients and their families receive the test where appropriate.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/07/2018 10:48:48 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis