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1087091

registered interest
date	12/03/2019
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	Hospitals: Infectious Diseases
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 the Government has made on reducing infection rates in hospitals; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	231466
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>Public Health England (PHE) collects data on the number of healthcare associated infections as part of the English Surveillance Programme for Antimicrobial Utilisation and Resistance, available at the following link:</p><p><a href="https://www.gov.uk/government/publications/english-surveillance-programme-antimicrobial-utilisation-and-resistance-espaur-report" target="_blank">https://www.gov.uk/government/publications/english-surveillance-programme-antimicrobial-utilisation-and-resistance-espaur-report</a></p><p>The latest data show cases of hospital-onset Clostridium difficile infection decreased by 18% from 1,149 in October-December 2017 to 938 in the same period in 2018. Hospital-onset Methicillin-resistant Staphylococcus aureus (MRSA) and Escherichia coli bloodstream infections remained stable over the last five years although hospital-onset Methicillin-sensitive Staphylococcus aureus (MSSA) cases have increased slightly. This data can be found in the Epidemiological Commentary on mandatory surveillance and is available to view at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/739910/Quarterley_Epidemiology_Commentary_September_18.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/739910/Quarterley_Epidemiology_Commentary_September_18.pdf</a></p><p>PHE supports NHS Improvement by making local data on rates of healthcare-associated infections available to hospitals and clinical commissioning groups via its Fingertips web portal available at the following link:</p><p><a href="https://fingertips.phe.org.uk/profile/amr-local-indicators" target="_blank">https://fingertips.phe.org.uk/profile/amr-local-indicators</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2019 16:36:29 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1087092

registered interest
date	12/03/2019
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	Ophthalmic Services
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 procedures for glaucoma were undertaken alongside cataract treatment in the last year; and whether his Department has made an assessment of the effectiveness of that combined treatment.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	231467
answer	answer is ministerial correction date of answer 20/03/2019 answer text <p>There were 2,742 National Health Service finished consultant episodes in 2017/18 in England, where a procedure for treating cataract and glaucoma occurred at the same time. This is not a count of patients, given patients may have more than one episode of care during the same period.</p><p> </p><p>No assessment has been made by the Department of the effectiveness of combining cataract and glaucoma treatment. Decisions on whether to recommend concomitant treatment are for individual clinicians’ taking into account individual clinical circumstances, the patient’s wishes and the best available evidence.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2019 16:42:16 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1086474

registered interest
date	11/03/2019
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	Breast Cancer: 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 support his Department provides to young mothers with breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	230730
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Young mothers with breast cancer should receive personalised care in line with the NHS England Long Term Plan commitments for personalised stratified follow up and personalised care, taking into account the particular needs of people in this situation.</p><p> </p><p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. Health Education England is also working to expand the number of CNSs and develop clear CNS competencies and routes into training. NHS England is committed to ensuring that more patients have access to a CNS or other specialist from diagnosis onwards to guide them through treatment options and ensure they receive appropriate information and support. 91% of patients reported having access to a CNS in the 2017 Cancer Patient Experience Survey. The new NHS Long Term Plan commitment is that all patients, including those with secondary cancers, will have access to the right expertise and support, including a CNS or other support worker by 2021. This will ensure access to personalised care, including needs assessment, a care plan and health and wellbeing information and support, and will be delivered in line with the NHS Comprehensive Model for Personalised Care.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230735 question first answered 19/03/2019 16:34:13 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1086475

registered interest
date	11/03/2019
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	Pain
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 potential merits of implementing a READ code for chronic pain.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	230731
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Read Codes, a coded thesaurus of clinical terms, have been used in the National Health Service since 1985. However, they were confirmed for retirement in 2014 and updates to the system are no longer being provided.</p><p> </p><p>SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms) is the clinical terminology that has replaced Read Codes within the NHS. It is a structured clinical vocabulary for use in an electronic health record and is the standard for communication of clinical information between providers of care. SNOMED CT is an approved information standard published under section 250 of the Health and Social Care Act 2012.</p><p> </p><p>Within SNOMED CT, there are currently 87 concepts, which represent a unique clinical meaning, related to the recording of chronic pain, including chronic back pain, chronic neck pain and chronic pain control. These can be viewed using the NHS SNOMED CT browser at the following link:</p><p><br> <a href="https://termbrowser.nhs.uk" target="_blank">https://termbrowser.nhs.uk</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:22:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1086477

registered interest
date	11/03/2019
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	Alcoholism: Females
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 reduce rates of alcoholism among women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	230733
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Local authorities are responsible for assessing their local need for treatment for alcohol dependence and commissioning a range of accessible services to meet these needs, including for alcohol-dependent women.</p><p> </p><p>Public Health England (PHE) works with local authorities to support them in this work by providing them with advice, data and guidance.</p><p> </p><p>PHE is supporting NHS England’s tobacco and alcohol commissioning for quality and innovation (CQUIN) scheme, which encourages hospitals to screen all inpatients about their alcohol and tobacco use and offer appropriate interventions. Guidance materials on the CQUIN are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/preventing-ill-health-commissioning-for-quality-and-innovation" target="_blank">https://www.gov.uk/government/publications/preventing-ill-health-commissioning-for-quality-and-innovation</a></p><p> </p><p>PHE is also working with NHS England to implement a programme targeting people who are alcohol dependent, as part of new prevention measures included in the National Health Service Long Term Plan.</p><p> </p><p>PHE’s One You campaign aims to motivate people to take steps to improve their health through action on the main risk factors, such as alcohol consumption. The campaign is available to view at the following link:</p><p> </p><p><a href="https://www.nhs.uk/oneyou/for-your-body/drink-less/" target="_blank">https://www.nhs.uk/oneyou/for-your-body/drink-less/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:27:17 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1086479

registered interest
date	11/03/2019
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	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, whether the Government has made an estimate of the number of secondary breast cancer patients who do not have access to a clinical nurse specialist or other support worker.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	230735
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Young mothers with breast cancer should receive personalised care in line with the NHS England Long Term Plan commitments for personalised stratified follow up and personalised care, taking into account the particular needs of people in this situation.</p><p> </p><p>The NHS Cancer Programme aims to improve access to cancer Clinical Nurse Specialists (CNS) for all cancer patients when they need it, including those with secondary breast cancer. Health Education England is also working to expand the number of CNSs and develop clear CNS competencies and routes into training. NHS England is committed to ensuring that more patients have access to a CNS or other specialist from diagnosis onwards to guide them through treatment options and ensure they receive appropriate information and support. 91% of patients reported having access to a CNS in the 2017 Cancer Patient Experience Survey. The new NHS Long Term Plan commitment is that all patients, including those with secondary cancers, will have access to the right expertise and support, including a CNS or other support worker by 2021. This will ensure access to personalised care, including needs assessment, a care plan and health and wellbeing information and support, and will be delivered in line with the NHS Comprehensive Model for Personalised Care.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230730 question first answered 19/03/2019 16:34:14 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081702

registered interest
date	04/03/2019
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
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 potential merits of NICE guidance on timelines for hyperglycaemia before the provision of additional treatment in order to reduce clinical inertia among type 1 diabetes patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227995
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>No such assessment has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:26:30 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081703

registered interest
date	04/03/2019
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
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 (a) improve insulin initiation in primary care throughout Northern Ireland and (b) reduce clinical inertia among type 1 diabetes patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227996
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>As health is a devolved matter, it would be for the relevant Department in Northern Ireland to provide information on the improvement of insulin initiation in primary care throughout Northern Ireland.</p><p>Clinical inertia does not arise in the same way for type 1 diabetes or have the same known body of evidence as that for type 2 diabetes. People with type 1 diabetes require standard treatment with insulin and doses will be adjusted as appropriate to the clinical presentation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:28:44 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081704

registered interest
date	04/03/2019
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
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 increase the number of people with Type 1 diabetes who meet NICE-recommended blood glucose targets in order to reduce the (a) incidence and (b) cost of complications among people with that type of diabetes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227997
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>NHS England is developing a diabetes management and care programme aimed at reducing variation and improving outcomes for people with diabetes.</p><p> </p><p>NHS England is making an additional £44 million Transformation Funding available to support delivery of the programme which will focus on four areas: reducing variation in the achievement of the three National Institute for Health and Care Excellence treatment targets, improving take up of structured education, improving access to multi-disciplinary foot care teams for people with diabetic foot disease and improving access to specialist inpatient support. The funding will also provide wider support for diabetes improvement, including dedicated diabetes posts in regional teams and clinical networks.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 228000 question first answered 12/03/2019 16:30:58 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081705

registered interest
date	04/03/2019
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
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 (a) help people with diabetes recognise the symptoms of hypoglycaemia and (b) reduce the incidence of hypoglycaemia among those people.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227998
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>NHS England issued advice in January 2018 to support specialist diabetes staff and primary care staff to effectively manage and support relevant type 1 diabetes patients to avoid and reduce the incidence of hypoglycaemia. The advice can be accessed at the following link:</p><p><a href="https://www.england.nhs.uk/publication/blood-glucose-monitoring-systems/" target="_blank">https://www.england.nhs.uk/publication/blood-glucose-monitoring-systems/</a></p><p>From April 2019 flash glucose monitors will be available on prescription for every patient who qualifies for them, in line with National Health Service clinical guidelines. NHS England has put in place national arrangements for funding of flash glucose monitoring sensors for relevant diabetes patients which includes detailed eligibility criteria.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:27:33 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon